Lysandra Hernandez, PA
Physician Assistant, Medical in Ponce, PR. Individual provider (NPI-1).
NPI number1740904168
StatusActive
Last updated in NPPESSep 29, 2022
Details
- NPI
- 1740904168
- Entity type
- Individual (NPI-1)
- Name
- Lysandra Hernandez
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2022
- Certification date
- Sep 27, 2022
- Last updated
- Sep 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 392PA | PR | Yes |
Practice location
909 Ave Tito Castro Ste 510Ponce, PR 00716-4721
Phone 787-259-7293
Mailing address
Calle Samaria 924Villa Del Carmen
Ponce, PR 00716
Phone 787-234-2808
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All 26 Medical Physician Assistant providers in Ponce · All 4,407 providers in Ponce
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