Provider Demographics
NPI:1912115304
Name:HERNANDEZ, LINDA (RPH)
Entity type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RD9 PLAZA OCHO
Mailing Address - Street 2:MARINA BAHIA
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962-6707
Mailing Address - Country:US
Mailing Address - Phone:787-788-2197
Mailing Address - Fax:787-756-8807
Practice Address - Street 1:RD9 PLAZA OCHO
Practice Address - Street 2:MARINA BAHIA
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962-6707
Practice Address - Country:US
Practice Address - Phone:787-788-2197
Practice Address - Fax:787-756-8807
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist