Provider Demographics
NPI:1962434761
Name:AMARAL, HECTOR LUIS (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:LUIS
Last Name:AMARAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 952
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-0952
Mailing Address - Country:US
Mailing Address - Phone:787-734-4161
Mailing Address - Fax:787-734-4161
Practice Address - Street 1:CALLE MUNOZ RIVERA #56
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-734-4161
Practice Address - Fax:787-734-4161
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11811208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR080169OtherCRUZ AZUL
PR201951OtherPREFERRED HEALTH
PR8646OtherIMC
PR7770017OtherHUMANA
PR88439OtherTRIPLE S
PRPG3238OtherPALIC
PR300105OtherMEDICARE MUCHO MAS (MMM)
PR080169OtherCRUZ AZUL
PR201951OtherPREFERRED HEALTH