Provider Demographics
NPI:1285607101
Name:HERNANDEZ ALONSO MEDICAL OFFICES P.S.C.
Entity type:Organization
Organization Name:HERNANDEZ ALONSO MEDICAL OFFICES P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:A
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-980-8268
Mailing Address - Street 1:PMB #394 5900 ISLA VERDE AVE. L-2
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-4901
Mailing Address - Country:US
Mailing Address - Phone:787-307-3399
Mailing Address - Fax:787-701-2671
Practice Address - Street 1:200 CALLE DUARTE
Practice Address - Street 2:URB. FLORAL PARK
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-759-6909
Practice Address - Fax:787-282-0884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-10
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11034261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR84560OtherTRIPLE-S
PR9260225OtherHUMANA INSURANCE INC.
PR582212664 0007OtherCIGNA HEALTHCARE
PR601440OtherMEDICARE Y MUCHO MAS
PR002455OtherAMERICAN HEALTH MEDICARE
PR2819AOtherPREFERRED MEDICAL CHOICE
PR582212664 0007OtherCIGNA HEALTHCARE
PR601440OtherMEDICARE Y MUCHO MAS
PR=========OtherMCS CLASSICARE
PR2819AOtherPREFERRED MEDICAL CHOICE