Eliezer Hernandez, M.D.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

J6834 Issued in TX

Practice address

1975 N Veterans Blvd
Ste 5
Eagle Pass, TX 78852-4456

Phone

(830) 773-9449

Fax

(830) 757-3142

NPI assigned

Sep 20, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIJJDD/Endpoint/GIJJDD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Eliezer Hernandez MD P.a.

  dba Yeled Shalom Pediatric Clinic

  • Rural Health Clinic/Center
  • Eagle Pass, TX
  • NPI 1770540684

  5% Or Greater Direct Ownership Interest

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eliezer Hernandez MD P.a.

  dba Yeled Shalom Pediatric Clinic

  • Rural Health Clinic/Center
  • Eagle Pass, TX
  • NPI 1770540684
  Medicare reassignment NPD Authorized official
• Fort Duncan Medical Center LP

  dba Fort Duncan Regional Medical Center

  • General Acute Care Hospital
  • Eagle Pass, TX
  • NPI 1770579591
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033217245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788531145",
            "telephone_number": "830-773-9449",
            "fax_number": "830-757-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 N VETERANS BLVD",
            "address_2": "STE 5",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524456",
            "telephone_number": "830-773-9449",
            "fax_number": "830-757-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELIEZER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "J6834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helping Hands Provider Services, LLC
• Priscilla Rose Heredia, O.D.
• Abigail Naomi Hernandez, DNP, FNP-BC
• Carlos E Hernandez, M.D.
• Cynthia Hernandez, LVN
• Emma Ramirez Hernandez, LVN
• Manuel Hernandez, P.A
• Norma Hilda Hernandez
• Roberto Isidro Hernandez Jr., PT
• Talhia Hernandez, PT

• Preferred Provider Organization in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.