Enrique Jose Illas Hernandez I, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

34942A Issued in PR

Practice address

Urbanizacion Puerto Nuevo Calle Aragon
Buzon 605
San Juan, PR 00920

Phone

(787) 749-2727

Fax

(787) 749-2727

NPI assigned

Nov 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1316416696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION PUERTO NUEVO CALLE ARAGON",
            "address_2": "BUZON 605",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00920",
            "telephone_number": "787-749-2727",
            "fax_number": "787-749-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION PUERTO NUEVO CALLE ARAGON",
            "address_2": "BUZON 605",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00920",
            "telephone_number": "787-749-2727",
            "fax_number": "787-749-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLAS HERNANDEZ",
        "first_name": "ENRIQUE",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Gerontology",
            "state": "PR",
            "license": "34942A",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "PR",
            "license": "34942A",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "PR",
            "license": "34942",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": "PR",
            "license": "34942A",
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": "PR",
            "license": "34942A",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "PR",
            "license": "34942A",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "PR",
            "license": "34942A",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "PR",
            "license": "34942A",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "PR",
            "license": "34942A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romilio Iglesias Rubio, MD
• Martin Iglesias, M.D.,
• Norma A Iglesias, DMD
• Luis A Iguina, M.D.
• Ih Endo LLC
• Damaris Illas, TECH.
• Imagenes Dinamicas, Inc. (PideloAtuPuerta.com)
• Imagenes Radiologicas del Caribe
• Imaging Development Corp
• Winston Segundo Imbert de Iturrondo, MD

• Home Health Registered Nurse in San Juan, PR
• Providers in San Juan, PR by specialty
• Home Health Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.