Provider Demographics
NPI:1366161002
Name:HERNANDEZ, ROCIO ISABEL (DC)
Entity type:Individual
Prefix:DR
First Name:ROCIO
Middle Name:ISABEL
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2484 PONCE BYP STE 104
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-1400
Mailing Address - Country:US
Mailing Address - Phone:787-585-5664
Mailing Address - Fax:787-844-0772
Practice Address - Street 1:2484 PONCE BYP STE 104
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-1400
Practice Address - Country:US
Practice Address - Phone:787-585-5664
Practice Address - Fax:787-844-0772
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000821111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor