Individual provider Active NPI

Jose Lorenzo-Hernandez, PHD

  • Psychologist
  • Moca, PR
National Provider Identifier
1356574990
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1588 Issued in PR
Practice address
Carr. 111
KM 6.7
Moca, PR 00676-9740
Phone
(178) 796-7938
NPI assigned
Aug 31, 2009
Last updated
Aug 31, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1588 PR Primary

Addresses

Primary practice location

Carr. 111
KM 6.7
Moca, PR 00676-9740

Mailing address

HC 5 Box 10682
Moca, PR 00676-9740
Phone (178) 796-7938

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1588PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1356574990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 10682",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769740",
            "telephone_number": "178-796-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 111",
            "address_2": "KM 6.7",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769740",
            "telephone_number": "178-796-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO-HERNANDEZ",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "1588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.