Individual provider Active NPI

Lillian Hernandez Cortes, DMD

  • Dentist
  • Vega Baja, PR
National Provider Identifier
1427349943
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3151 Issued in PR
Practice address
Carr 2 KM 39.1
Plaza Las Vegas
Vega Baja, PR 00693
Phone
(787) 855-5342
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 3151 PR Primary

Addresses

Primary practice location

Carr 2 KM 39.1
Plaza Las Vegas
Vega Baja, PR 00693

Mailing address

A16 Calle 2
Panorama Estates
Bayamon, PR 00957

Other practice location 1

Calle Jose Marti # 904
Suite A-1
San Juan, PR 00907
Phone (787) 723-2140

Other practice location 2

Calle Jose Marti # 904
Suite A-1
San Juan, PR 00907
Phone (787) 723-2140

Other identifiers 1

IdentifierTypeStateIssuer
1427349943OtherNPI

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160426000794 PR Order and Referring Only - DentistPractitioner - Dentist 8921307935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3151PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1427349943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A16 CALLE 2",
            "address_2": "PANORAMA ESTATES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 39.1",
            "address_2": "PLAZA LAS VEGAS",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-855-5342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Jose Marti # 904",
            "address_2": "Suite A-1",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00907",
            "country_code": "US",
            "telephone_number": "787-723-2140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Calle Jose Marti # 904",
            "address_2": "Suite A-1",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00907",
            "country_code": "US",
            "telephone_number": "787-723-2140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ CORTES",
        "first_name": "LILLIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427349943",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.