Active NPI
Melvin E Hernandez Viera, DMD
- Dentist
- San Juan, PR
National Provider Identifier
1093740391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1485
- Practice address
- 315 Ave Domenech
San Juan, PR 00918-3513 - Phone
- (787) 754-0600
- Fax
- (787) 767-4976
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1485 | PR | Primary |
Addresses
Primary practice location
315 Ave Domenech
San Juan, PR 00918-3513
Mailing address
315 Ave Domenech
San Juan, PR 00918-3513
Phone (787) 754-0600
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150820012048 | PR | Order and Referring Only - Dentist | 5496060345 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1093740391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 AVE DOMENECH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183513",
"telephone_number": "787-754-0600",
"fax_number": "787-767-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 AVE DOMENECH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183513",
"telephone_number": "787-754-0600",
"fax_number": "787-767-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ VIERA",
"first_name": "MELVIN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "1485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Luis Gabriel Hernandez Soto
- Dariana Giselle Hernandez Torres
- Luis R Hernandez Vazquez, M.D.
- William Hernandez Vera, M.D.
- Edgar Carlos Hernandez Viera, M.D.
- Cesar F Hernandez-Arroyo, M.D.
- Gabriel Hernandez-Beauchamp, M.D.
- Carlos Javier Hernandez-Bocachica, MS, SLP
- Jorge Luis Hernandez-Denton, M.D.
- Manuel Santiago Hernandez-Gaitan, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.