Provider Demographics
NPI:1427532308
Name:HERNANDEZ, JARYSBEL (RN)
Entity type:Individual
Prefix:MS
First Name:JARYSBEL
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR 149 KM 7.5
Mailing Address - Street 2:BO RIO ARRIBA SALIENTE
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-238-4471
Mailing Address - Fax:787-884-5704
Practice Address - Street 1:CARR 149 KM 7.5
Practice Address - Street 2:BO RIO ARRIBA SALIENTE
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-238-4471
Practice Address - Fax:787-884-5704
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR030388163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR30388OtherNURSE LICENCE
PR4452678OtherDRIVERS LICENCE
PR4452678OtherDRIVERS LISCENCE