Individual provider Active NPI

Jorge Esteban Martinez Hernandez, RPH

  • Pharmacist
  • Manati, PR
National Provider Identifier
1316607369
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6951 Issued in PR
Practice address
10 Carr 149 Ste 100
Manati, PR 00674-6211
Phone
(787) 884-0404
Fax
(787) 884-0100
NPI assigned
Dec 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6951 PR Primary

Addresses

Primary practice location

10 Carr 149 Ste 100
Manati, PR 00674-6211

Mailing address

HC 2 Box 43824
Arecibo, PR 00612-9440
Phone (787) 940-0057

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL intercomeplus Health Information Exchange (HIE)

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)
Not enrolled
Credentials
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1316607369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 43824",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129440",
            "telephone_number": "787-940-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CARR 149 STE 100",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006746211",
            "telephone_number": "787-884-0404",
            "fax_number": "787-884-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ HERNANDEZ",
        "first_name": "JORGE",
        "middle_name": "ESTEBAN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "intercomeplus",
            "affiliation": "N",
            "endpointDescription": "intercomeplus",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "walgreens",
            "address_1": "10 Carr 149 Ste 100",
            "city": "Manati",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006746211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.