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Dr. Jorge Carlos Illanas Hernandez, MD
Student in an Organized Health Care Education/Training Program in Mayaguez, N/A
NPI 1730808395

Jorge Carlos Illanas Hernandez is a Student in an Organized Health Care Education/Training Program based in Mayaguez, . Jorge Carlos Illanas Hernandez practices in Mayaguez, and has the professional credentials of MD. The NPI Number for Jorge Carlos Illanas Hernandez is 1730808395 and holds a License No. 23145 (N/A).

The current practice location address for Jorge Carlos Illanas Hernandez is Pr #2 Km 156.7, Mayaguez, and can be reached out via phone at 787-380-8425.

Location: Pr #2 Km 156.7, Mayaguez, , 00681-0987
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730808395
Provider Name
Jorge Carlos Illanas Hernandez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Pr #2 Km 156.7, Mayaguez, , 00681-0987
Phone Number
787-380-8425
Fax Number
Provider Enumeration Date
08/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Pr #2 Km 156.7
City
Mayaguez
State
Zip
00680
Phone Number
787-380-8425
Fax Number
person
Provider Business Mailing Address Details
Address
Pr #2 Km 156.7
City
Mayaguez
State
Zip
00680
Phone Number
787-380-8425
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
15878-I ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
23145 ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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