William Hernandez-alicea M.D.

NPI 1063421527 - General Practice - 208D00000X

NPI Details
NPI 1063421527
Gender Male
Enumeration Date 08/05/2006
Last Updated 03/01/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
110 NNPTC CIRCLE
GOOSE CREEK VA OUT PATIENT CLINIC
GOOSE CREEK SC, 29445, US
Phone (843) 789-6400
Fax
Business Location
110 NNPTC CIRCLE
GOOSE CREEK VA OUT PATIENT CLINIC
GOOSE CREEK SC, 29445, US
Phone (843) 789-6400
Fax (406) 477-8657
Toxanomy
Taxonomy Code 208D00000X
License State Puerto Rico
License Number 12487
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According to our database, Dr. William Hernandez-alicea M.D. NPI is 1063421527, taxonomy code is 208D00000X and license number is 12487, license state is located at Puerto Rico. William Hernandez-alicea M.D. physically located at 110 Nnptc Circle, Goose Creek SC, 29445. NPI Number William Hernandez-alicea M.D. has the Individual type.

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1063421527 NPI number is provided on an as is basis without warranty of any kind. 1063421527 is maintained by the National Plan & Provider Enumeration System. The contents of William Hernandez-alicea M.D. are for informational purposes only.