Active NPI
Gabriel Hernandez Denton, MD
- Specialist
- San Juan, PR
National Provider Identifier
1215903026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6504
- Practice address
- 1475 Calle Wilson
Suite 3B
San Juan, PR 00907-2357 - Phone
- (787) 726-7380
- Fax
- (787) 268-1439
- NPI assigned
- Feb 23, 2006
- Last updated
- Feb 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6504 | PR | Primary |
Addresses
Primary practice location
1475 Calle Wilson
Suite 3B
San Juan, PR 00907-2357
Mailing address
1475 Calle Wilson
Suite 3B
San Juan, PR 00907-2357
Phone (787) 726-7380
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240306000923 | PR | Order and Referring Only - Internal Medicine | 4082679113 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6504 | PR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1215903026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 CALLE WILSON",
"address_2": "SUITE 3B",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009072357",
"telephone_number": "787-726-7380",
"fax_number": "787-268-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 CALLE WILSON",
"address_2": "SUITE 3B",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009072357",
"telephone_number": "787-726-7380",
"fax_number": "787-268-1439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ DENTON",
"first_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "6504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Yanela Hernandez Borjas, MD
- Yainaliz Hernandez Chevere, MS
- Raul R Hernandez Chuan, MD
- Delmaris Hernandez Colon, MD
- Sebastian Marcos Hernandez del Valle
- Isaul Hernandez Diaz, PHARMD
- Daniel Hernandez Escobar, PHARMD
- Amaury Hernandez Flores, MD
- Marimar Hernandez Hernandez
- Gabriel Alberto Hernandez Herrera, MD, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.