Illiad E Hernandez Lopez, T M

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

610 Issued in PR

Practice address

85 Calle Don Chemary
Moca, PR 00676

Phone

(787) 877-1895

Fax

(787) 877-1895

NPI assigned

Mar 6, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lab Clinico Hernandez Inc.

  • Clinical Medical Laboratory
  • Moca, PR
  • NPI 1336580638
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1326218223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-1895",
            "fax_number": "787-877-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CALLE DON CHEMARY",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-1895",
            "fax_number": "787-877-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ LOPEZ",
        "first_name": "ILLIAD",
        "middle_name": "E",
        "credential": "T M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "PR",
            "license": "610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Hands Chiropractic Clinic Corp
• Healing Hands Medical Transportation LLC
• Ines Marie Hernandez Arbelo, MD
• Rene E Hernandez Cordero, MD
• Jamalie Hernandez de la Cruz, PS.L
• Anaitsi Hernandez Mendoza, LND
• Nydia Iris Hernandez Rivera, PSIC IT-O
• Yelitza Hernandez Soto
• Lidibeth Hernandez Villanueva, RN
• Savier Hernandez-Cordero, P.T.

• Medical Technologist in Moca, PR
• Providers in Moca, PR by specialty
• Medical Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.