Edgar C Hernandez PSC Neurology

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

13207 Issued in PR

Legal business name

EDGAR C HERNANDEZ PSC NEUROLOGY

Practice address

369 Calle de Diego
Suite 607 Torre San Francisco
San Juan, PR 00923

Phone

(787) 764-9560

Fax

(787) 771-6161

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edgar C Hernandez Viera, MDNPI 1477515310

Title

President

Phone

(787) 764-9560

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edgar Carlos Hernandez Viera, M.D.

  • Neurology Physician
  • San Juan, PR
  • NPI 1477515310
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1154514594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO SUITE 607",
            "address_2": "TORRE MEDICA SAN FRANCISCO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233003",
            "telephone_number": "787-764-9560",
            "fax_number": "787-771-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO",
            "address_2": "SUITE 607 TORRE SAN FRANCISCO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-764-9560",
            "fax_number": "787-771-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR C HERNANDEZ PSC NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ VIERA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-764-9560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "13207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "84414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sofia Isabel Echeverria Fabelo
• Rafael Javier Echeverria, M.D.
• Eco Clean PR LLC
• Ecohealth Medical Group LLC
• Ecohealth Medical System LLC
• Edge Orthodontics
• Edilfredo Hernandez (Laboratorio Clinico Paseo Dorado)
• Educ-KM Therapy LLC
• Edwards Lifesciences Puerto Rico Corporation
• Viviana Edwards, SRNA

• Neurology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Neurology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.