DR. JORGE CARLOS ILLANAS HERNANDEZ MD NPI 1730808395

NPI Information

NPI: 1730808395
Provider Name: DR. JORGE CARLOS ILLANAS HERNANDEZ, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
PR #2 KM 156.7
MAYAGUEZ, PR
ZIP 00680
Phone: (787) 380-8425
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DR. Jorge Carlos Illanas Hernandez, MD is a general practice in Mayaguez, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Jorge Carlos Illanas Hernandez, MD NPI is 1730808395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

PR #2 KM 156.7
MAYAGUEZ, PR
ZIP 00680
Phone: (787) 380-8425

The enumeration date for this NPI number is 8/25/2022 and was last updated on 3/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		23145	PUERTO RICO	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program		15878-I	PUERTO RICO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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