Antonio Hernandez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2505 Issued in PR

Practice address

F19 Calle Isla Nena
Reparto Flamingo
Bayamon, PR 00959-4936

Phone

(787) 779-4049

Fax

(787) 785-7125

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Antonio Hernandez LLC

  • Dentist
  • Bayamon, PR
  • NPI 1033524285
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1477698363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE ISLA NENA F19 REPARTO FLAMINGO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-779-4049",
            "fax_number": "787-785-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "F19 CALLE ISLA NENA",
            "address_2": "REPARTO FLAMINGO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009594936",
            "telephone_number": "787-779-4049",
            "fax_number": "787-785-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomas Hernandez-Ortiz, M.D.; M.P.H.
• Luis Hernandez-Rios, MD
• Ema Maria Hernandez-Santana, D.C.
• Keishla Yamiliz Hernandez-Vargas
• Priscila Anais Hernandez-Velez, M.D.
• Arlene Hernandez, M.D.
• Carolina Hernandez, PSYD
• Evaurely Hernandez, M.D.
• Kesbia Mariela Hernandez
• Lizanette Hernandez, AUD

• General Practice Dentistry in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.