Individual provider Active NPI

Gabriel Hernandez Denton, MD

  • Specialist
  • San Juan, PR
National Provider Identifier
1215903026
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6504 Issued in PR
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306000923 PR Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4082679113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6504PRMDPharmacist 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

Sources for this page

Verify at the official NPI Registry.