Individual provider Active NPI

Adrian Hernandez, D.C.

  • Rehabilitation Chiropractor
  • San Juan, TX
National Provider Identifier
1295821684
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
9416 Issued in TX
Practice address
1201 N Raul Longoria Rd Ste P
San Juan, TX 78589-3728
Phone
(956) 702-4255
Fax
(956) 702-4779
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 9416 TX Primary

Addresses

Primary practice location

1201 N Raul Longoria Rd Ste P
San Juan, TX 78589-3728

Mailing address

1201 N Raul Longoria Rd Ste P
San Juan, TX 78589-3728
Phone (956) 702-4255

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9416TXMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Injury and Rehab, PLLC Rehabilitation Past Accepting new patients
Pinnacle Health Rehab LLC Past Accepting new patients

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1295821684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N RAUL LONGORIA RD STE P",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893728",
            "telephone_number": "956-702-4255",
            "fax_number": "956-702-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N RAUL LONGORIA RD STE P",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893728",
            "telephone_number": "956-702-4255",
            "fax_number": "956-702-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "9416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.