Marisol Hernandez, HEALTH EDUCATOR MAST

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

5069 Issued in PR

Practice address

Carr 921 KM 2.8
Bo Tejas Sector Alturas de Tejas 117
Las Piedras, PR 00771

Phone

(787) 598-2450

NPI assigned

Jul 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1114404472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007710876",
            "telephone_number": "787-598-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 921 KM 2.8",
            "address_2": "BO TEJAS SECTOR ALTURAS DE TEJAS 117",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-598-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARISOL",
        "credential": "HEALTH EDUCATOR MAST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "PR",
            "license": "5069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "5504",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waldemar Hernandez Flores, ADN
• Hernandez-Amb Medical Clinic, LLC
• Alberto Rogelio Hernandez, PSY.D
• Angel Hernandez, O.D.
• Juanita Hernandez, MD
• Vernice Hernandez
• Julie Hurtado Penton
• Instituto Fisiatrico Dra. Palou
• Lymaris Jaime, MS SLP
• Rafael Jenaro Jimenez Barreras, DMD

• Health Educator in Las Piedras, PR
• Providers in Las Piedras, PR by specialty
• Health Educator in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.