Ivette Marcelle Hernandez Aquino, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

282577 Issued in NY

Practice address

Dept of Anesthesiology Suite 989
Medical Center of Puerto Rico
Rio Piedras, PR 00935

Phone

(787) 758-0640

Fax

(787) 758-1327

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• GRH Anesthesia Group, PSC

  • Pain Medicine (Anesthesiology) Physician
  • San Juan, PR
  • NPI 1770527632
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1124062724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ANESTESIOLOGIA RCM",
            "address_2": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-758-0640",
            "fax_number": "787-758-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT OF ANESTHESIOLOGY SUITE 989",
            "address_2": "MEDICAL CENTER OF PUERTO RICO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-758-0640",
            "fax_number": "787-758-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4325 Hunter St Apt 3908W",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111014692",
            "country_code": "US",
            "telephone_number": "787-565-4557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ AQUINO",
        "first_name": "IVETTE",
        "middle_name": "MARCELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-01-22",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "282577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "2-3898",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grupo de Salud Primaria-Upr Rio Piedras
• Wilberto Guzman Alvarado, M. D.
• Israel Antonio Guzman, RN
• Lillian Haddock-Suarez, M.D.
• Heart Rhythm Management PSC
• Carmen Sara Hernandez, SW
• Jose Enrique Hernandez, MD
• Sara M Herrera, RPH
• Christie M Hidalgo
• Alvaro Jose Horta Caicedo, DMD

• Anesthesiology Physician in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Anesthesiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.