Active NPI
Manuel E Hernandez Duprey, DMD
- Prosthodontics
- Arecibo, PR
National Provider Identifier
1073733168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 1842
- Practice address
- Marginal Vista Azul G4
Arecibo, PR 00612 - Phone
- (787) 878-2480
- Fax
- (787) 878-2480
- NPI assigned
- Apr 30, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 1842 | PR | Primary |
Addresses
Primary practice location
Marginal Vista Azul G4
Arecibo, PR 00612
Mailing address
PO Box 141044
Arecibo, PR 00614
Phone (787) 878-2480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41824 | Other | PR | SSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1842 | PR | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073733168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 141044",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00614",
"telephone_number": "787-878-2480",
"fax_number": "787-878-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARGINAL VISTA AZUL G4",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-878-2480",
"fax_number": "787-878-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ DUPREY",
"first_name": "MANUEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PR",
"license": "1842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "41824",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
- Hatimed Medical Equipment Corp
- Hatimed Medical Transport Corp
- Health Prevention Group
- Hema Onco de Arecibo Inc
- Neida Maritza Heredia Torres
- Cesar R. Hernandez Garcia, M.D.
- Marcos Javier Hernandez Hernandez, M.D.
- Ana Maria Hernandez Puig, DMD
- Saul Hernandez Rodriguez, M.D.
- Ynez Mercedes Hernandez-Colon, B.S.PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.