Active NPI
Dalia Cristina Hernandez Medina, M.D.
- Gynecology Physician
- San Juan, PR
National Provider Identifier
1285162487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 21286
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21286 | Other | PR | PR MEDICARE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OBGYN Associates LLC | Current | Accepting new patients | |
| The OB-GYN Professionals Group PSC | Current | Accepting new patients |
Locations
400 Ave Fd Roosevelt
Ste 304
San Juan, PR 00918
Phone (787) 753-7406
Interoperability endpoints
- 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.
-
- Specialist
- San Juan, PR
- NPI 1114757796
-
- Specialist
- San Juan, PR
- NPI 1477513521
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
- Gabriel Alberto Hernandez Herrera, MD, MS
- Cecilio Hernandez Latorre, MD
- Gabriel Hernandez Martin, M.D.
- Sachiara Sophia Hernandez Martinez
- Viviana Ivelisse Hernandez Martinez
- Edel Hernandez Mons
- Leslie Ann Hernandez Montanez, PSY. D.
- Kyomara Zoe Hernandez Moya, MD
- Zulma Hernandez Munoz
- Michelle Elaine Hernandez Pacheco, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.