Individual provider Active NPI

Maria Isabel Hernandez

  • General Practice Physician
  • Ciales, PR
National Provider Identifier
1013985662
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10422 Issued in PR
Practice address
55 Calle Palmer
Ciales, PR 00638-3218
Phone
(787) 871-1103
Fax
(787) 871-1103
NPI assigned
Mar 9, 2006
Last updated
Oct 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10422 PR Primary

Addresses

Primary practice location

55 Calle Palmer
Ciales, PR 00638-3218

Mailing address

55 Calle Palmer
Ciales, PR 00638-3218
Phone (787) 871-1103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051207000219 PR Practitioner - General Practice 7517987498 Practice locations: Ciales, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 A Calle Palmer
Ciales, PR 00638-3218
Phone (787) 871-1103

Calle Palmer
55A
Ciales, PR 00638-3218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1013985662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CALLE PALMER",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383218",
            "telephone_number": "787-871-1103",
            "fax_number": "787-871-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE PALMER",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383218",
            "telephone_number": "787-871-1103",
            "fax_number": "787-871-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ciales, PR

Sources for this page

Verify at the official NPI Registry.