Individual provider Active NPI

Christian E Hernandez Cuevas, M.D.

  • General Practice Physician
  • Cidra, PR
National Provider Identifier
1093947079
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17614 Issued in PR
Practice address
Av Industrial El Jibaro
Cidra, PR 00739-0000
Phone
(787) 639-1266
NPI assigned
Aug 10, 2009
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 017614 PR
General Practice Physician 208D00000X 17614 PR Primary

Addresses

Primary practice location

Av Industrial El Jibaro
Cidra, PR 00739-0000

Mailing address

Urbanizacion Estancias del Rio
27 Calle Tallaboa
Aguas Buenas, PR 00703
Phone (787) 690-8890

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL practicefusion Health Information Exchange (HIE)

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
I20100422001084 PR Practitioner - General Practice 3779610761 Practice locations: Cidra, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Av Industrial El Jibaro
Centro de Salud Menonita Oficina 100
Cidra, PR 00739
Phone (787) 639-1266

Hospital Menonita Cidra
Ave Industrial El Jibaro
Cidra, PR 00739
Phone (787) 690-8890

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017614PRMDGeneral Practice Physician
17614PRMDGeneral Practice Physician

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1093947079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION ESTANCIAS DEL RIO",
            "address_2": "27 CALLE TALLABOA",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "00703",
            "telephone_number": "787-690-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AV INDUSTRIAL EL JIBARO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007390000",
            "telephone_number": "787-639-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ CUEVAS",
        "first_name": "CHRISTIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-10",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "017614",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "practicefusion",
            "affiliation": "N",
            "endpointDescription": "practicefusion",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Av Industrial el jibaro",
            "city": "Cidra",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007390000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.