Individual provider Active NPI

Rocio Isabel Hernandez, DC

  • Chiropractor
  • Ponce, PR
National Provider Identifier
1366161002
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000821 Issued in PR
Practice address
2484 Ponce Byp Ste 104
Ponce, PR 00716-1400
Phone
(787) 585-5664
Fax
(787) 844-0772
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000821 PR Primary

Addresses

Primary practice location

2484 Ponce Byp Ste 104
Ponce, PR 00716-1400

Mailing address

2484 Ponce Byp Ste 104
Ponce, PR 00716-1400
Phone (787) 585-5664

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000821PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Quiropractica Dra Xenia Medina LLC Chiropractor CurrentSince Nov 13, 2022 Accepting new patients

Locations

2484 Ponce Byp
Ste 104
Ponce, PR 00716
Phone (787) 432-4149

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1366161002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 PONCE BYP STE 104",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161400",
            "telephone_number": "787-585-5664",
            "fax_number": "787-844-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484 PONCE BYP STE 104",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161400",
            "telephone_number": "787-585-5664",
            "fax_number": "787-844-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ROCIO",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "000821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.