Active NPIIndividual providerSole proprietor

Dr. Jorge C Illanas Hernandez, MD

General Practice in Mayaguez, Puerto Rico

NPI Number1730808395
Practice location
Pr #2 Km 156.7, Mayaguez, PR 00680
Fax
—
Last updated
March 15, 2023

Jorge Carlos Illanas Hernandez is a General Practice based in Mayaguez, PR. Jorge Carlos Illanas Hernandez practices in Mayaguez, PR and has the professional credentials of MD. The NPI Number for Jorge Carlos Illanas Hernandez is 1730808395 and holds a License No. 23145 (PR). The current practice location address for Jorge Carlos Illanas Hernandez is Pr #2 Km 156.7, Mayaguez, PR 00680 and can be reached out via phone at 787-380-8425.

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, PR 00680
Phone Number
787-380-8425
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 25, 2022
Last Update Date
March 15, 2023
Certification Date
March 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
Pr #2 Km 156.7
Mayaguez, PR 00680
Zip
00680
Phone Number
787-380-8425
Mayaguez, PR 00680Get directions →

Provider Business Mailing Address Details

Address
Po Box 987
Mayaguez, PR 00681-0987
City
Mayaguez
State
PR
Zip
00681-0987
Phone Number
787-380-8425

License Information

License Number (1)
23145
License State (1)
PR
Taxonomy (1)
General Practice · 208D00000X · Primary
License Number (2)
15878-I
License State (2)
PR

Legacy Identifiers

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

Other General Practice providers near Mayaguez, PR

View all General Practice providers in Mayaguez →

Frequently Asked Questions

What is the NPI number of Dr. Jorge C Illanas Hernandez, MD?

The NPI number of Dr. Jorge C Illanas Hernandez, MD is 1730808395. It was assigned on August 25, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Jorge C Illanas Hernandez, MD?

Dr. Jorge C Illanas Hernandez, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 23145.

Where does Dr. Jorge C Illanas Hernandez, MD practice?

The practice location is Pr #2 Km 156.7, Mayaguez, PR 00680. The office can be reached at 787-380-8425 (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 1730808395 directly on the NPPES registry website.

Browse related providers