Individual provider Active NPI

Natalie Hernandez-Kozma, M.D.

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1366713901
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18, 380 Issued in PR
Practice address
740 Ave Hostos
Medical Center Plaza, Suite 305
Mayaguez, PR 00682-1539
Phone
(787) 652-4864
Fax
(787) 652-4865
NPI assigned
Jan 12, 2012
Last updated
Dec 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18, 380 PR Primary

Addresses

Primary practice location

740 Ave Hostos
Medical Center Plaza, Suite 305
Mayaguez, PR 00682-1539

Mailing address

PO Box 7436
Mayaguez, PR 00681-7436
Phone (787) 652-4864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120322000558 PR Practitioner - General Practice 6204096662 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

740 Ave Hostos Medical Ctr Plaza
Suite 305
Mayaguez, PR 00682-1539
Phone (787) 525-9179

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18, 380PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1366713901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7436",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006817436",
            "telephone_number": "787-652-4864",
            "fax_number": "787-652-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 AVE HOSTOS",
            "address_2": "MEDICAL CENTER PLAZA, SUITE 305",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821539",
            "telephone_number": "787-652-4864",
            "fax_number": "787-652-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-KOZMA",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18, 380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.