Individual provider · Type 1 NPI

Lellanes Justiz Hernandez

Medical Physician Assistant · Ponce, PR

NPI number 1114756111 Active

Practice location

396 Calle Dr Luis F Sala Urb Industrial Reparada
Ponce, PR 00716

Call (787) 840-2575 Map

Mailing address

396 Calle Dr Luis Sala Urb Industrial Reparada
Ponce, PR 00716

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X000989 (PR)

Medical Physician Assistant: Definition to come...

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About NPI 1114756111

Lellanes Justiz Hernandez's National Provider Identifier is 1114756111, issued on Jul 29, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ponce, PR. The record was last updated on Jul 29, 2024.