Individual provider Active NPI

Marlene L Torres Hernandez, M.D.

  • General Practice Physician
  • San Sebastian, PR
National Provider Identifier
1437139508
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15504 Issued in PR
Practice address
1 Ave Dr Pedro Cebollero
Bo Bahomamey
San Sebastian, PR 00685-0000
Phone
(787) 896-9900
Fax
(787) 896-9900
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15504 PR Primary

Addresses

Primary practice location

1 Ave Dr Pedro Cebollero
Bo Bahomamey
San Sebastian, PR 00685-0000

Mailing address

PO Box 19
Isabela, PR 00662-0019
Phone (787) 630-5714

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050315000730 PR Practitioner - General Practice 8628023488 Practice locations: San Sebastian, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Group S.S.C.S.P General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1437139508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620019",
            "telephone_number": "787-630-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVE DR PEDRO CEBOLLERO",
            "address_2": "BO BAHOMAMEY",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850000",
            "telephone_number": "787-896-9900",
            "fax_number": "787-896-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES HERNANDEZ",
        "first_name": "MARLENE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.