Active NPI
Maria Del Carmen Hernandez, MD
- Family Medicine Physician
- Naranjito, PR
National Provider Identifier
1104808799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- BH0612108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29566 | Other | TUPLE S | |
| 200012 | Other | UTI | |
| 7190022 | Other | HUMANA DE PR | |
| 1083 | Other | AMERICAN HEALTH | |
| 26145 | Other | ASOCIAIION MAESTROS | |
| PE3067 | Other | PALIC | |
| 8006 | Other | IMC | |
| 400130 | Other | MMM | |
| 5483561457 | Other | MAFFRE | |
| 06992 | Other | CRUZ AZUEL | |
| 3608352 | Other | UIA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DM076216 | PR | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.