Active NPI
Jose Hernandez Vera-Medicina General,CSP
- General Practice Physician
- Mayaguez, PR
National Provider Identifier
1184034332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16580
- Legal business name
- JOSE HERNANDEZ VERA-MEDICINA GENERAL,CSP
- Practice address
- 15 Calle Dr Basora N
Mayaguez, PR 00680-4833 - Phone
- (787) 834-0101
- NPI assigned
- Apr 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose Hernandez
- Title
- President
- Phone
- (787) 546-5725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16580 | PR | Primary |
Addresses
Primary practice location
15 Calle Dr Basora N
Mayaguez, PR 00680-4833
Mailing address
917 Calle Reinita
Urb Miradero Gardens
Mayaguez, PR 00682-7553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6 Calle Ruiz Belvis
Maricao, PR 00606
Phone (787) 546-5725
55 Calle Dr Basora N
Ste 104
Mayaguez, PR 00680
Phone (787) 546-5725
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Guaynabo, PR
- NPI 1487814778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398643200000",
"number": "1184034332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 CALLE REINITA",
"address_2": "URB MIRADERO GARDENS",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006827553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CALLE DR BASORA N",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804833",
"telephone_number": "787-834-0101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE HERNANDEZ VERA-MEDICINA GENERAL,CSP",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-28",
"last_updated": "2014-04-28",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-546-5725",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "PR",
"license": "16580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
- Marla Esther Jordan, MD
- Jorge L Bonilla MD PSC (Jorge L Bonilla Mendez)
- Jorge L Colon (Super Farmacia Familiar)
- Jose a. Cancio MD, C.S.P.
- Jose E Montalvo (Procare Emergency Medical Transport)
- Juan Felipe Bado Perez DMD P.S.C
- Juan R Diaz Troche Cirujanos CSP
- Moraima M. Jurado Bequer, M.S.
- Perly Jusino Lugo, M.D.
- Hildamari Justiniano Garcia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.