Carlos Hernandez Ortiz, D.P.M.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

000066 Issued in PR

Practice address

110 Ave Rio Hondo
Suite #8
Bayamon, PR 00961-3114

Phone

(787) 784-9352

Fax

(787) 784-9352

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Afsc of San Juan, PSC

  • Ambulatory Surgical Clinic/Center
  • San Juan, PR
  • NPI 1730582792
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245335306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 AVE RIO HONDO",
            "address_2": "SUITE #8",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613114",
            "telephone_number": "787-784-9352",
            "fax_number": "787-784-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 AVE RIO HONDO",
            "address_2": "SUITE #8",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613114",
            "telephone_number": "787-784-9352",
            "fax_number": "787-784-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ ORTIZ",
        "first_name": "CARLOS",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "PR",
            "license": "000066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Wilfredo Hernandez Colon, M.D.
• Hernandez Gonzalez Orthopedic Services, PSC
• Johnny Hernandez Gonzalez
• Cynthia Ivette Hernandez Loyola, LIC
• Carlos M Hernandez Mendez, PHARMD
• Eddy E Hernandez Perez, MD
• Maria del Carmen Hernandez Perez, MA. PSY.
• Nivia Hernandez Ramos, M.D.
• Barbara Z. Hernandez Ruiz, PSY.D
• Abdiel Jose Hernandez Soto, MD, MPH

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.