Individual provider Active NPI

Hector Jose Nunez Medina, MD

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1104273812
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21855 Issued in PR
Practice address
1716 Calle Parana
San Juan, PR 00926-3148
Phone
(787) 766-2200
Fax
(787) 766-8548
NPI assigned
May 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21855 PR
Internal Medicine Physician 207R00000X 33810 PR
Student in an Organized Health Care Education/Training Program 390200000X PR
Cardiovascular Disease Physician 207RC0000X 21855 PR Primary

Addresses

Primary practice location

1716 Calle Parana
San Juan, PR 00926-3148

Mailing address

PO Box 360423
San Juan, PR 00936-0423
Phone (787) 310-8854

Other practice location 1

University District Hospital Puerto Rico Medical Center
Bo. Monacillos
San Juan, PR 00935-0001
Phone (787) 754-0101

Other practice location 2

Centro Cardiovascular de Puerto Rico Y El Caribe
San Juan, PR 00936
Phone (787) 754-8500

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
I20230426000076 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406211507 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Senorial Cardiovascular Services IncGroup PAC ID 4486715562, 3 clinicians

Practice addresses (Care Compare)

1716 Calle Parana
San Juan, PR 00926-3148
Phone (787) 766-2200

Ave Jose Celso Barbosa Bo Monacillo
Centro Cardiovascular de PR Y del Caribe
San Juan, PR 00935-0001
Phone (787) 754-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21855PRMDInternal Medicine Physician
33810PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HNM Care LLC Cardiovascular Disease CurrentSince Feb 10, 2024 Accepting new patients
El Senorial Cardiovascular Services Inc Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients

Locations

Ave Jose Celso Barbosa Bo Monacillo
San Juan, PR 00935
Phone (787) 679-8800

1716 Calle Parana
San Juan, PR 00926
Phone (787) 310-8854

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1104273812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360423",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360423",
            "telephone_number": "787-310-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 CALLE PARANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263148",
            "telephone_number": "787-766-2200",
            "fax_number": "787-766-8548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "UNIVERSITY DISTRICT HOSPITAL PUERTO RICO MEDICAL CENTER",
            "address_2": "BO. MONACILLOS",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-754-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CENTRO CARDIOVASCULAR DE PUERTO RICO Y EL CARIBE",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "country_code": "US",
            "telephone_number": "787-754-8500",
            "fax_number": "787-765-0282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ MEDINA",
        "first_name": "HECTOR",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21855",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "33810",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "21855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.