Active NPIIndividual providerSole proprietor

Lellanes Justiz Hernandez

Physician Assistant, Medical in Ponce, Puerto Rico

NPI Number1114756111
Practice location
396 Calle Dr Luis F Sala Urb Industrial Reparada, Ponce, PR 00716
Fax
—
Last updated
July 29, 2024

Lellanes Justiz Hernandez is a Physician Assistant, Medical based in Ponce, PR. Lellanes Justiz Hernandez practices in Ponce, PR. The NPI Number for Lellanes Justiz Hernandez is 1114756111 and holds a License No. 000989 (PR). The current practice location address for Lellanes Justiz Hernandez is 396 Calle Dr Luis F Sala Urb Industrial Reparada, Ponce, PR 00716 and can be reached out via phone at 787-840-2575.

Provider Profile Details

NPI Number
1114756111
Provider Name
Lellanes Justiz Hernandez
Provider Entity Type
Individual
Gender
Female
Address
396 Calle Dr Luis F Sala Urb Industrial Reparada, Ponce, PR 00716
Phone Number
787-840-2575
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 29, 2024
Last Update Date
July 29, 2024
Certification Date
July 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
396 Calle Dr Luis F Sala Urb Industrial Reparada
Ponce, PR 00716
City
Ponce
Zip
00716
Phone Number
787-840-2575
Ponce, PR 00716Get directions →

Provider Business Mailing Address Details

Address
396 Calle Dr Luis Sala Urb Industrial Reparada
Ponce, PR 00716
City
Ponce
State
PR
Zip
00716

License Information

License Number
000989
License State
PR
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lellanes Justiz Hernandez?

The NPI number of Lellanes Justiz Hernandez is 1114756111. It was assigned on July 29, 2024 and is currently active in the NPPES registry.

What is the specialty of Lellanes Justiz Hernandez?

Lellanes Justiz Hernandez is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in PR under license number 000989.

Where does Lellanes Justiz Hernandez practice?

The practice location is 396 Calle Dr Luis F Sala Urb Industrial Reparada, Ponce, PR 00716. The office can be reached at 787-840-2575 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114756111 directly on the NPPES registry website.

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