Lianet Hernandez
Individual provider Active NPI Medical Physician Assistant · Isabella, PR
NPI 1508660895 · NPPES record last updated Apr 3, 2025
Key facts
- NPI
- 1508660895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 002522 (PR)
- Practice address
- Calle Barbosa Isabella #5
Isabella, PR 00662 - Phone
- (939) 313-0501
- NPI assigned
- Apr 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002522 | PR | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 002522 | PR | Yes |
Addresses
Primary practice location
Calle Barbosa Isabella #5
Isabella, PR 00662
Mailing address
8480 SW 150TH Ave Apt 104
Miami, FL 33193-1454
Phone (786) 412-3448
Other providers in Isabella, PR
All providers in Isabella, PR · Medical Physician Assistant in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.