Individual provider Active NPI

Dalia Cristina Hernandez Medina, M.D.

  • Gynecology Physician
  • San Juan, PR
National Provider Identifier
1285162487
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
21286 Issued in PR
Practice address
7 C Washington
San Juan, PR 00907
Phone
(787) 296-9906
Fax
(412) 293-3563
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 21286 PR Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7 C Washington
San Juan, PR 00907

Mailing address

PO Box 33102
San Juan, PR 00933-3102
Phone (787) 296-9906

Other identifiers 1

IdentifierTypeStateIssuer
21286OtherPRPR MEDICARE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL THEOBGYNASSOCIATES@GMAIL.COM Health Information Exchange (HIE)

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
I20210909000233 PR Practitioner - Obstetrics/Gynecology 7012271356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

244 Calle Rodrigo de Triana
Suite 111
San Juan, PR 00918
Phone (412) 514-6807

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OBGYN Associates LLC CurrentSince Sep 1, 2024 Accepting new patients
The OB-GYN Professionals Group PSC CurrentSince Aug 24, 2021 Accepting new patients

Locations

400 Ave Fd Roosevelt
Ste 304
San Juan, PR 00918
Phone (787) 753-7406

Interoperability endpoints

  • Direct secure messaging: dalia.hernandezmedina@4048.securemail.prognocis.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1285162487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009333102",
            "telephone_number": "787-296-9906",
            "fax_number": "412-293-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 C WASHINGTON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-296-9906",
            "fax_number": "412-293-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ MEDINA",
        "first_name": "DALIA",
        "middle_name": "CRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "21286",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR MEDICARE  LICENSE",
            "identifier": "21286",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "THEOBGYNASSOCIATES@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "SECURE EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7 C WASHINGTON",
            "city": "SAN JUAN",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.