Individual provider Active NPI

Juan M Hernandez Flores, PHD

  • Clinical Psychologist
  • Carolina, PR
National Provider Identifier
1437398195
Registry record updated Mar 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3238 Issued in PR
Practice address
848 St.
Plaza 66 BLDG Office 1
Carolina, PR 00987
Phone
(787) 245-9177
NPI assigned
Feb 19, 2009
Last updated
Mar 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3238 PR Primary

Addresses

Primary practice location

848 St.
Plaza 66 BLDG Office 1
Carolina, PR 00987

Mailing address

Ciudad Jardin Canovanas 40 Calle del Rio
Canovanas, PR 00729-9820
Phone (787) 406-3893

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220414002035 PR Practitioner - Clinical Psychologist 7810218104 Practice locations: Carolina, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1437398195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CIUDAD JARDIN CANOVANAS 40 CALLE DEL RIO",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299820",
            "telephone_number": "787-406-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 ST.",
            "address_2": "PLAZA 66 BLDG OFFICE 1",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-245-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ FLORES",
        "first_name": "JUAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.