Active NPI
Janice Rodriguez Hernandez, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Guaynabo, PR
National Provider Identifier
1104266006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 19689
- Practice address
- Maramar Plaza 1270
101 Ave San Patricio
Guaynabo, PR 00968 - Phone
- (787) 751-2509
- Fax
- (787) 781-5307
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 19689 | PR | Primary |
Addresses
Primary practice location
Maramar Plaza 1270
101 Ave San Patricio
Guaynabo, PR 00968
Mailing address
675 Calle Sergio Cuevas
Cond Torre del Cardenal Apto 601 Box 33
San Juan, PR 00918
Phone (787) 751-2509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200921000220 | GA | Order and Referring Only - Neurology | 7719305952 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19689 | PR | MD | Neurology with Special Qualifications in Child Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1104266006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 CALLE SERGIO CUEVAS",
"address_2": "COND TORRE DEL CARDENAL APTO 601 BOX 33",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-751-2509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARAMAR PLAZA 1270",
"address_2": "101 AVE SAN PATRICIO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00968",
"telephone_number": "787-751-2509",
"fax_number": "787-781-5307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ HERNANDEZ",
"first_name": "JANICE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "PR",
"license": "19689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
- Jose L Rodriguez Delgado, 1410P
- Joan Rodriguez Encarnacion, 1356B
- Migdalia Rodriguez Figueroa, 0398P
- Andrea Cristina Rodriguez Fraticelli
- Edgar Rodriguez Heredia, 0786B
- Nelson Rodriguez Hernandez
- Jose Rodriguez Lopez, 1790P
- Oscar Emilio Rodriguez Lopez, M.D.
- Luis Rodriguez Martinez, 0538B
- Omar Rodriguez Martinez, 1588P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.