Provider Demographics
NPI:1306633631
Name:HERNANDEZ, ALBERTO ROGELIO (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:ROGELIO
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 565
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-0565
Mailing Address - Country:US
Mailing Address - Phone:787-237-1129
Mailing Address - Fax:
Practice Address - Street 1:REPARTO ARENALES CARRETERA 936 KILOMETRO 0.8
Practice Address - Street 2:CALLE 8 I-9 CASA 111
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-237-1129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6369103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling