Liza M Hernandez-Gonzalez, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

15978 Issued in PR

Practice address

640 Ave Andalucia
San Juan, PR 00920-5311

Phone

(787) 957-5553

Fax

(787) 957-5710

NPI assigned

Feb 26, 2007

Last updated

Sep 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Physical Medicine and RehabilitationAlso: Pain Management, Sports Medicine

Education

University of Puerto Rico School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prspi, PSCGroup PAC ID 4789824723, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prspi, PSC

  dba Puerto Rico Sports and Pain Medicine Institute

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1528309804
  Medicare reassignment Care Compare group NPD
• Recinto de Ciencias Medicas

  dba Recinto de Ciencias M edicas-Medicina Fisica y Rehabilitacion

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1932299583
  Medicare reassignment NPD
• Recinto de Ciencias Medicas

  dba Cirugia Colorrectal RCM

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1295861284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 AVE ANDALUCIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009205311",
            "telephone_number": "787-957-5553",
            "fax_number": "787-957-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 AVE ANDALUCIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009205311",
            "telephone_number": "787-957-5553",
            "fax_number": "787-957-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-GONZALEZ",
        "first_name": "LIZA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PR",
            "license": "15978",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PR",
            "license": "15978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Luis Hernandez-Denton, M.D.
• Manuel Santiago Hernandez-Gaitan, M.D.
• Andres Enrique Hernandez-Gonzalez
• Guevnex Hernandez-Gonzalez
• Iranis Nicole Hernandez-Gonzalez, MD
• Isabel M. Hernandez-Ibarra, PSYD
• Edgardo Hernandez-Lopez, M.D.
• Juan Jose Hernandez-Maldonado, MD
• Wilfredo J Hernandez-Martinez, DMD
• Pedro Antonio Hernandez-Nevarez, M.D.

• Interventional Pain Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Interventional Pain Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.

Verify at the official NPI Registry.