Provider Demographics
NPI:1578447876
Name:FERNANDEZ CORDERO, HECTOR (MSW)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:
Last Name:FERNANDEZ CORDERO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 CALLE B, REPTO SAN JUAN
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-4050
Mailing Address - Country:US
Mailing Address - Phone:787-933-1100
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL METROPOLITANO DE LA MONTANA
Practice Address - Street 2:CALLE ISAAC GONZALEZ, ESQUINA LEDESMA
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-0000
Practice Address - Country:US
Practice Address - Phone:787-933-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15506104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker