Individual provider Active NPI

Kristine Marie Hernandez Ramirez, M.D.

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1053558163
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17455 Issued in PR
Practice address
47 Ave Severiano Cuevas Ste 2
Aguadilla, PR 00603-5751
Phone
(787) 248-5422
NPI assigned
Jan 12, 2009
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 17455 PR Primary

Addresses

Primary practice location

47 Ave Severiano Cuevas Ste 2
Aguadilla, PR 00603-5751

Mailing address

PO Box 643
San Antonio, PR 00690-0643
Phone (787) 248-5422

Other practice location 1

110 Street Km 8.3
Aguadilla, PR 00603
Phone (787) 248-5422

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
I20090617000086 PR Practitioner - General Practice 7315097185 Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Bo Ceiba Baja
Carr 110 KM23.8
Aguadilla, PR 00060-6083
Phone (787) 248-5422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17455PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dra Kristine M Hernandez LLC General Practice CurrentSince Aug 25, 2024 Accepting new patients

Locations

47 Ave Severiano Cuevas
Ste 2
Aguadilla, PR 00603
Phone (787) 248-5422

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1053558163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006900643",
            "telephone_number": "787-248-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 AVE SEVERIANO CUEVAS STE 2",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035751",
            "telephone_number": "787-248-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Street Km 8.3",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "00603",
            "country_code": "US",
            "telephone_number": "787-248-5422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ RAMIREZ",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.