Active NPI
Gilberto Luis Hernandez Gomez Sr.
- In Home Supportive Care Agency
- Utuado, PR
National Provider Identifier
1386423325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 87152
- Practice address
- 33 Calle Dr Cueto
Utuado, PR 00641-2887 - Phone
- (787) 385-2801
- Fax
- (787) 919-0179
- NPI assigned
- Sep 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 87152 | PR | |
| In Home Supportive Care Agency | 253Z00000X | 87152 | PR | Primary |
Addresses
Primary practice location
33 Calle Dr Cueto
Utuado, PR 00641-2887
Mailing address
PO Box 1056
Utuado, PR 00641-1056
Phone (787) 385-2801
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
| License | State | Type | Specialty |
|---|---|---|---|
| 87152 | PR | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hernandez Health Systems, Inc. | In Home Supportive Care | Current | Accepting new patients |
Locations
33 Calle Dr Cueto
Utuado, PR 00641
Phone (787) 385-2801
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.
-
- In Home Supportive Care Agency
- Utuado, PR
- NPI 1528703188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1386423325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1056",
"city": "UTUADO",
"state": "PR",
"postal_code": "006411056",
"telephone_number": "787-385-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 CALLE DR CUETO",
"city": "UTUADO",
"state": "PR",
"postal_code": "006412887",
"telephone_number": "787-385-2801",
"fax_number": "787-919-0179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ GOMEZ",
"first_name": "GILBERTO",
"middle_name": "LUIS",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-28",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "87152",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "PR",
"license": "87152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utuado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.