Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 0477 | PR |
NPI | 1003028309 |
---|---|
Provider Name | Dr. Norbert Hernandez SR. |
First Address | Adjuntas, PR 00601-9549 |
Second Address | Adjuntas, PR 00601-2135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 17/01/2022 |