Individual provider Active NPI

Luis E Rodriguez Hernandez, M.D.

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1164472007
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7135 Issued in PR
Practice address
1326 Calle Salud El Senorial Plaza Suite 103
Ponce, PR 00728-1689
Phone
(787) 844-7975
Fax
(787) 844-7975
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7135 PR Primary

Addresses

Primary practice location

1326 Calle Salud El Senorial Plaza Suite 103
Ponce, PR 00728-1689

Mailing address

1633 Calle Josemaria Escriva
Ext. Alhambra
Ponce, PR 00716-3809
Phone (787) 579-4231

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116000633 PR Practitioner - Internal Medicine 9830090463 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 ER Piso Ofic
C2
Ponce, PR 00731
Phone (787) 844-7975

1633 Calle Jose Maria Escriva
Ponce, PR 00716-3809

1633 Calle Josemaria Escriva
Ponce, PR 00716-3809

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1164472007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CALLE JOSEMARIA ESCRIVA",
            "address_2": "EXT. ALHAMBRA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163809",
            "telephone_number": "787-579-4231",
            "fax_number": "787-844-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 CALLE SALUD EL SENORIAL PLAZA SUITE 103",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281689",
            "telephone_number": "787-844-7975",
            "fax_number": "787-844-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ HERNANDEZ",
        "first_name": "LUIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.