Provider Demographics
NPI:1528952843
Name:HERNANDEZ, KARLA E
Entity type:Individual
Prefix:DR
First Name:KARLA
Middle Name:E
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 CALLE MAYAGUEZ APT 504
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-5101
Mailing Address - Country:US
Mailing Address - Phone:787-347-6214
Mailing Address - Fax:
Practice Address - Street 1:4 COND PLAYA AZUL 4 APT C20
Practice Address - Street 2:
Practice Address - City:LUQUILLO
Practice Address - State:PR
Practice Address - Zip Code:00773-2381
Practice Address - Country:US
Practice Address - Phone:787-347-6214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8420103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical