Juan T Hernandez Sr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

023626 Issued in PR

Practice address

Urb. Montebello #101
Calle Acueducto
Lares, PR 00669

Phone

(787) 512-2022

NPI assigned

Jan 18, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Practice roles

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.

• Servicios de Salud Primarios de Barceloneta, Inc.

  • Federally Qualified Health Center (FQHC)
  • Barceloneta, PR
  • NPI 1972509842
  Medicare reassignment NPD
• Servicios de Salud Primarios de Barceloneta, Inc.

  • Clinical Medical Laboratory
  • Barceloneta, PR
  • NPI 1396813549
  NPD
• Servicios de Salud Primarios de Barceloneta, Inc.

  • Federally Qualified Health Center (FQHC)
  • Arecibo, PR
  • NPI 1518375625
  NPD

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1407561053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690817",
            "telephone_number": "787-512-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. MONTEBELLO #101",
            "address_2": "CALLE ACUEDUCTO",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-512-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JUAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-18",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Home",
            "affiliation": "N",
            "address_1": "Urb. Montebello #101",
            "address_2": "Calle Acueducto",
            "city": "Lares",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daylin Guerrero Caballero
• Wilson Xavier Guzman Perez, DMD
• Carlos Joel Guzman Vega
• Jeniffer Guzman
• Mariela Raquel Hernandez Cajigas, M.D.
• Luis Orlando Hernandez, MD
• Hogar Toque de Amor Lares Inc
• Ikanos Chiropractic & Wellness Center LLC
• Irazema Gonzalez Mahiquez
• Hilda D Irizarry

• General Practice Physician in Lares, PR
• Providers in Lares, 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 26, 2024; 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.