Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 80 | PR |
NPI | 1144980061 |
---|---|
Provider Name | Dr. Leidi P. Hernandez Martinez |
First Address | Ponce, PR 00728-1818 |
Second Address | Ponce, PR 00728 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2021 |
Last Update Date | 20/12/2021 |