Farrah M Hernandez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17116 Issued in PR

Practice address

4 Calle Hospital
Ciales, PR 00638-3310

Phone

(787) 871-1098

Fax

(787) 871-4883

NPI assigned

May 5, 2008

Last updated

Jan 13, 2017By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1376719757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CALLE HOSPITAL",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383310",
            "telephone_number": "787-871-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE HOSPITAL",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383310",
            "telephone_number": "787-871-1098",
            "fax_number": "787-871-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "FARRAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vilmary Garcia Leon
• Miriam Gines, PSICOLOGIA
• Monica Gonzalez Roman
• Pedro J. Gonzalez, DMD
• Ana Maria Hernandez Perez, M.D.
• Maria Isabel Hernandez
• Instituto Medico de Ciales, Corp
• Janniecel Marie Irizarry, O.D.
• Shirley Jaime, M.D.
• Antonio J Jelu, M.D.

• General Practice Physician in Ciales, PR
• Providers in Ciales, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.