Provider Demographics
NPI:1629559323
Name:HERA GINECOLOGIA Y OBSTETRICIA
Entity type:Organization
Organization Name:HERA GINECOLOGIA Y OBSTETRICIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATION PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LLINAS MESSEGUER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-408-2678
Mailing Address - Street 1:252 SAN JORGE MEDICAL BUILDING
Mailing Address - Street 2:SUITE 405
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00912
Mailing Address - Country:US
Mailing Address - Phone:787-727-1000
Mailing Address - Fax:
Practice Address - Street 1:252 SAN JORGE MEDICAL BUILDING
Practice Address - Street 2:SUITE 405
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00912
Practice Address - Country:US
Practice Address - Phone:787-727-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-22
Last Update Date:2020-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty