Individual provider Active NPI

Cecilio Hernandez Latorre, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1265441307
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7958 Issued in PR
Practice address
Calle Nispero
#78 Urb Laderas de San Juan
San Juan, PR 00926-9323
Phone
(787) 379-1047
Fax
(787) 474-8325
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 7958 PR Primary

Addresses

Primary practice location

Calle Nispero
#78 Urb Laderas de San Juan
San Juan, PR 00926-9323

Mailing address

Calle Nispero
#78 Urb Laderas de San Juan
San Juan, PR 00926-9323
Phone (787) 379-1047

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
I20060502000300 PR Practitioner - General Practice 3173533486 Practice locations: San Juan, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265441307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE NISPERO",
            "address_2": "#78 URB LADERAS DE SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269323",
            "telephone_number": "787-379-1047",
            "fax_number": "787-474-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE NISPERO",
            "address_2": "#78 URB LADERAS DE SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269323",
            "telephone_number": "787-379-1047",
            "fax_number": "787-474-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ LATORRE",
        "first_name": "CECILIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.