Individual provider Active NPI

Edgar Carlos Hernandez Viera, M.D.

  • Neurology Physician
  • San Juan, PR
National Provider Identifier
1477515310
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
13207 Issued in PR
Practice address
369 Calle de Diego
Suite 607
San Juan, PR 00923-3003
Phone
(787) 764-9560
Fax
(787) 771-6161
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 13207 PR Primary

Addresses

Primary practice location

369 Calle de Diego
Suite 607
San Juan, PR 00923-3003

Mailing address

369 Calle de Diego Suite 607
Torre Medica San Francisco
San Juan, PR 00923-3003
Phone (787) 764-9560

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
I20050218000044 PR Practitioner - Neurology 7810949823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

369 Calle de Diego
Suite 607
San Juan, PR 00923-3005
Phone (787) 764-9560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13207PRMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edgar C Hernandez PSC Neurology Neurology CurrentSince Nov 23, 1999 Accepting new patients
PLG Breast Imaging Services, PSC CurrentSince Jan 31, 2020 Accepting new patients
International Radiology Center & Medical Group, PSC CurrentSince Oct 4, 2006 Accepting new patients

Locations

100 Carr 165
Ste C107
Guaynabo, PR 00968
Phone (787) 296-8880

369 Calle de Diego
Ste 607
San Juan, PR 00923
Phone (787) 764-9560

Organizations & group practices 3

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1477515310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO SUITE 607",
            "address_2": "TORRE MEDICA SAN FRANCISCO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233003",
            "telephone_number": "787-764-9560",
            "fax_number": "787-771-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO",
            "address_2": "SUITE 607",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233003",
            "telephone_number": "787-764-9560",
            "fax_number": "787-771-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ VIERA",
        "first_name": "EDGAR",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "13207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.