Provider Demographics
NPI:1528703188
Name:HERNANDEZ HEALTH SYSTEMS, INC.
Entity type:Organization
Organization Name:HERNANDEZ HEALTH SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GILBERTO
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:HERNANDEZ GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:787-385-2801
Mailing Address - Street 1:PO BOX 1056
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641-1056
Mailing Address - Country:US
Mailing Address - Phone:787-385-2801
Mailing Address - Fax:
Practice Address - Street 1:33 CALLE DR CUETO
Practice Address - Street 2:
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-2887
Practice Address - Country:US
Practice Address - Phone:787-385-2801
Practice Address - Fax:787-385-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty