Active NPI
Cristal Santiago Hernandez
- Adolescent Medicine (Family Medicine) Physician
- Hartford, CT
National Provider Identifier
1487401907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Family Medicine) Physician
- License
- NONE
- Practice address
- 43 Woodland St
Hartford, CT 06105-2363 - Phone
- (860) 793-3500
- NPI assigned
- May 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | NONE | CT | Primary |
Addresses
Primary practice location
43 Woodland St
Hartford, CT 06105-2363
Mailing address
43 Woodland St
Hartford, CT 06105-2363
Phone (860) 793-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NONE | CT | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1487401907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 WOODLAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052363",
"telephone_number": "860-793-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 WOODLAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052363",
"telephone_number": "860-793-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO HERNANDEZ",
"first_name": "CRISTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": "CT",
"license": "NONE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.