All Medicaid billing entities listing HERNANDEZ, ILLIAD (MT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Puerto Rico | 1 | $15K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ILLIAD E HERNANDEZ LOPEZ | MOCA, PR | Clinical Medical Laboratory | $15K |