Individual provider Active NPI

Maria Del Carmen Hernandez, MD

  • Family Medicine Physician
  • Naranjito, PR
National Provider Identifier
1104808799
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BH0612108 Issued in PR
Practice address
Calle Ignacio Morales Acosta 72
Naranjito, PR 00719-0372
Phone
(787) 869-0540
Fax
(787) 869-0540
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8352 PR
Family Medicine Physician 207Q00000X BH0612108 PR Primary
Family Medicine Physician 207Q00000X DM076216 PR

Addresses

Primary practice location

Calle Ignacio Morales Acosta 72
Naranjito, PR 00719-0372

Mailing address

PO Box 372
Calle Ignacio Morales Acosta 72
Naranjito, PR 00719-0372
Phone (787) 869-0540

Other identifiers 11

IdentifierTypeStateIssuer
29566OtherTUPLE S
200012OtherUTI
7190022OtherHUMANA DE PR
1083OtherAMERICAN HEALTH
26145OtherASOCIAIION MAESTROS
PE3067OtherPALIC
8006OtherIMC
400130OtherMMM
5483561457OtherMAFFRE
06992OtherCRUZ AZUEL
3608352OtherUIA

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
I20100427000114 PR Practitioner - Family Practice 7315074135 Practice locations: Naranjito, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University Central del Caribe Escuela de Medicina, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

72 Calle Ignacio
Suite 0372
Naranjito, PR 00719-0372

72 Calle Ignacio Morales
Naranjito, PR 00719-3009
Phone (787) 869-0540

Calle Ignacio Morales Acosta
Suite 72
Naranjito, PR 00719-0372

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DM076216PRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1104808799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "address_2": "CALLE IGNACIO MORALES ACOSTA 72",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190372",
            "telephone_number": "787-869-0540",
            "fax_number": "787-869-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE IGNACIO MORALES ACOSTA 72",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190372",
            "telephone_number": "787-869-0540",
            "fax_number": "787-869-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARIA",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "8352",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "BH0612108",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "DM076216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUPLE S",
            "identifier": "29566",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI",
            "identifier": "200012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA DE PR",
            "identifier": "7190022",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "1083",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASOCIAIION MAESTROS",
            "identifier": "26145",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PE3067",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "8006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "400130",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAFFRE",
            "identifier": "5483561457",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUEL",
            "identifier": "06992",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "3608352",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.