Carlos J Hernadez Sr.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7893 Issued in PR

Practice address

Carr 2 KM 11.8 Edificio Centurion Piso 3
Bayamon, PR 00961-4735

Phone

(787) 704-0705

Fax

(787) 744-7446

NPI assigned

May 7, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Inspira Behavioral Care Corp

  • Clinic/Center
  • Ponce, PR
  • NPI 1548084635
  NPD
• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Cidra, PR
  • NPI 1063928596
  NPD
• Inspira Behavioral Care Corp.

  • Psychiatric Hospital
  • Bayamon, PR
  • NPI 1609381524
  NPD
• Instituto Psicoterapeutico de PR

  • Psychiatric Hospital
  • San Juan, PR
  • NPI 1588619985
  NPD (past)

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1154179133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9809",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269809",
            "telephone_number": "787-704-0705",
            "fax_number": "787-744-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 11.8 EDIFICIO CENTURION PISO 3",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614735",
            "telephone_number": "787-704-0705",
            "fax_number": "787-744-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNADEZ",
        "first_name": "CARLOS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Lab Group Medical
• Hector I. Rosado (Sos Emergency Services)
• Helga E. Nieves (Farmacia La Nueva Mariana)
• Juan Carlos Heredia Mendez, PA
• Danny Heredia
• Boyd Hernandez Collazo, MD
• Angel Wilfredo Hernandez Colon, M.D.
• Hernandez Gonzalez Orthopedic Services, PSC
• Johnny Hernandez Gonzalez
• Cynthia Ivette Hernandez Loyola, LIC

• Clinical Psychologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.