Hernandez, Rafael A

Hernandez, Rafael A is an sole proprietor health care provider with primary practice located at Ave Font Martelo #53 104, Humacao PR 00791. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Hernandez, Rafael A can be contacted via phone (787) 852-4475.

Contact Information

Primary practice address
Ave Font Martelo #53 104 Humacao PR 00791
Fax: (787) 285-0632
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 2009 Puerto Rico

Profile Details

NPI number 1396848339
LBN Legal business name Hernandez, Rafael A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396848339 NPPES
Puerto Rico Other DM10293-9 STATE DRUG LICENSE

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