Wanda Liz Hernandez | Hatillo, PR • PECOS Search

Wanda Liz Hernandez

General Practice

Allopathic & Osteopathic Physicians

116 Ave Dr Susoni, Hatillo, PR 00659-1847

PECOS Enrollment

Based on the most recent information from CMS, provider Wanda Liz Hernandez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1538392980
Provider Type
Individual
Full Name
Hernandez, Wanda Liz
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
9/2/2009
Last Updated
3/12/2013

Contact Information

Practice Location

116 Ave Dr Susoni, Hatillo, PR 00659-1847

(787) 262-3984

Mailing Location

PO Box 907, Hatillo, PR 00659-0907

(787) 262-3984

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 17749 Puerto Rico