Individual provider Active NPI

Benito Hernandez, MD

  • Obstetrics & Gynecology Physician
  • Bayamon, OR
National Provider Identifier
1477551984
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5076 Issued in PR
Practice address
Calle J Esq. Calle B Oh. 106 Edil. Med. Hnas Dauila
Calle J Esq. Calle B Oh. 106 Edil. Med. Hnas Dauila
Bayamon, OR 00960
Phone
(787) 740-0066
Fax
(787) 269-3020
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5076 PR Primary

Addresses

Primary practice location

Calle J Esq. Calle B Oh. 106 Edil. Med. Hnas Dauila
Calle J Esq. Calle B Oh. 106 Edil. Med. Hnas Dauila
Bayamon, OR 00960

Mailing address

PO Box 8731
Calle J Esq. Calle B Oh. 106 Edil. Med. Hnas Dauila
Bayamon, PR 00960-8731
Phone (787) 740-0066

Other identifiers 8

IdentifierTypeStateIssuer
1060OtherINTERNATIONAL MEDICAL CAR
PE0133OtherPALIC
068118OtherSSS
6200077OtherHUMAN HEALTH
6200077OtherHUMANA INSURANCE
068118OtherC.A,
209094OtherUTI
2808OtherAMERICAN HEALTH CARE

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
I20140324001000 PR Practitioner - Obstetrics/Gynecology 6002047750 Practice locations: Bayamon, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5076PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477551984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8731",
            "address_2": "CALLE J ESQ. CALLE B OH. 106 EDIL. MED. HNAS DAUILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608731",
            "telephone_number": "787-740-0066",
            "fax_number": "787-269-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE J ESQ. CALLE B OH. 106 EDIL. MED. HNAS DAUILA",
            "address_2": "CALLE J ESQ. CALLE B OH. 106 EDIL. MED. HNAS DAUILA",
            "city": "BAYAMON",
            "state": "OR",
            "postal_code": "00960",
            "telephone_number": "787-740-0066",
            "fax_number": "787-269-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "BENITO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "5076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "1060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PE0133",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "068118",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMAN HEALTH",
            "identifier": "6200077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "6200077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C.A,",
            "identifier": "068118",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI",
            "identifier": "209094",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH CARE",
            "identifier": "2808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.