Active NPI
Johaniris Rodriguez Hernandez, MD
- Student in an Organized Health Care Education/Training Program
- Manati, PR
National Provider Identifier
1053202135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 17438-I
- Practice address
- Calle Hernandez Carrion Urb Atenas
Manati, PR 00674 - Phone
- (787) 621-3700
- NPI assigned
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 17438-I | PR | Primary |
Addresses
Primary practice location
Calle Hernandez Carrion Urb Atenas
Manati, PR 00674
Mailing address
PO Box 1142
Manati, PR 00674-1142
Phone (787) 621-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17438-I | PR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1053202135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1142",
"city": "MANATI",
"state": "PR",
"postal_code": "006741142",
"telephone_number": "787-621-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE HERNANDEZ CARRION URB ATENAS",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-621-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ HERNANDEZ",
"first_name": "JOHANIRIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-15",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "17438-I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
- Yesenia Maria Rodriguez Alvarez, MD
- Luis Francisco Rodriguez Burgos, MD
- Yanitza Rodriguez Fernandez, PH.D
- Mildred I Rodriguez Fuxench, M.D.
- Javier Enrique Rodriguez Garcia, PSY D
- Keisel Rodriguez Lezcano, MD
- Abner Joel Rodriguez Maisonet
- Mayra I Rodriguez Martinez, M.D.
- Heysha M. Rodriguez Ortiz Sr., DOCTORADO
- Celimar Rodriguez Rodriguez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.