Active NPI
Efrain Hernandez
- General Practice Physician
- Arecibo, PR
National Provider Identifier
1285003319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16186
- Practice address
- 13 Calle Brillante
Urb. Martellare
Arecibo, PR 00612-4254 - Phone
- (787) 297-5854
- NPI assigned
- Sep 18, 2015
- Last updated
- Sep 18, 2015
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16186 | PR | Primary |
Addresses
Primary practice location
13 Calle Brillante
Urb. Martellare
Arecibo, PR 00612-4254
Mailing address
13 Calle Brillante
Urb. Martellare
Arecibo, PR 00612-4254
Phone (787) 297-5854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16186 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1285003319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 CALLE BRILLANTE",
"address_2": "URB. MARTELLARE",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124254",
"telephone_number": "787-297-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 CALLE BRILLANTE",
"address_2": "URB. MARTELLARE",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124254",
"telephone_number": "787-297-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "EFRAIN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-18",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.