Jose Gabriel Hernandez Sr., PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2448-PA Issued in PR

Practice address

Hospital Menonita Cidra
Oficina 105
Cidra, PR 00739

Phone

(787) 739-6688

NPI assigned

Dec 31, 2024

Last updated

Dec 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1356150783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 44 BOX 13436",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369763",
            "telephone_number": "939-381-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL MENONITA CIDRA",
            "address_2": "OFICINA 105",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-739-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "GABRIEL",
        "name_suffix": "Sr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2448-PA",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "2448-PA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H.a.Z. Health Services Inc. (Laboratorio Clinico Instituto Central)
• Hablemos Centro de Habilitacion Y Rehabilitacion del Habla-Lenguajecrl
• Healing Hands Inc (Healing Hands Healthcare)
• Christian E Hernandez Cuevas, M.D.
• Elsa Yolanda Hernandez, BSN
• Sheila Enid Hernandez
• Hogar Carmen Colon, Inc.
• Amarilis Huertas-Rivera
• Inspira Behavioral Care Corp.
• Inspira Behavioral Care Corp.

• Physician Assistant in Cidra, PR
• Providers in Cidra, PR by specialty
• Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.