Active NPI
William Hernandez Vera, M.D.
- General Practice Physician
- San Juan, PR
National Provider Identifier
1417044496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16624
- Practice address
- 1051 Calle 3 SE
Apt 306
San Juan, PR 00921-3000 - Phone
- (787) 792-0633
- NPI assigned
- Oct 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16624 | PR | Primary |
Addresses
Primary practice location
1051 Calle 3 SE
Apt 306
San Juan, PR 00921-3000
Mailing address
PO Box 1170
Aguada, PR 00602-1170
Phone (787) 252-1432
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070126000140 | PR | Practitioner - General Practice | 1850392366 | Practice locations: Moca, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Lam Medical Service | Hospice | W-2 Managing Employee | Apr 1, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Cabo Rojo, PR
- NPI 1346447265
W-2 Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417044496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1170",
"city": "AGUADA",
"state": "PR",
"postal_code": "006021170",
"telephone_number": "787-252-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 CALLE 3 SE",
"address_2": "APT 306",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213000",
"telephone_number": "787-792-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ VERA",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Gabriel Alejandro Hernandez Roman, MD
- Yuissa Nanette Hernandez Sierra, MSN, FNP-C
- Luis Gabriel Hernandez Soto
- Dariana Giselle Hernandez Torres
- Luis R Hernandez Vazquez, M.D.
- Edgar Carlos Hernandez Viera, M.D.
- Melvin E Hernandez Viera, DMD
- Cesar F Hernandez-Arroyo, M.D.
- Gabriel Hernandez-Beauchamp, M.D.
- Carlos Javier Hernandez-Bocachica, MS, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.