Provider Demographics
NPI:1336254937
Name:HERNANDEZ-LOPEZ, HECTOR N (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:N
Last Name:HERNANDEZ-LOPEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CALLE DE DIEGO E
Mailing Address - Street 2:SUITE #201
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-4890
Mailing Address - Country:US
Mailing Address - Phone:787-832-0590
Mailing Address - Fax:787-832-0590
Practice Address - Street 1:14 CALLE DE DIEGO E
Practice Address - Street 2:SUITE #201
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4890
Practice Address - Country:US
Practice Address - Phone:787-832-0590
Practice Address - Fax:787-832-0590
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2211174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC83427Medicare UPIN
PR0091524Medicare ID - Type Unspecified