Organization Active NPI

Her OBGYN LLC

  • Obstetrics & Gynecology Physician
  • Ponce, PR
National Provider Identifier
1497604680
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HER OBGYN LLC
Practice address
880 Ave Tito Castro Ste 102
Ponce, PR 00716-4733
Phone
(787) 651-6121
NPI assigned
Jan 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Dr. Brian Josue Hernandez, MD, FACOG
Title
OBGYN
Phone
(787) 651-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

880 Ave Tito Castro Ste 102
Ponce, PR 00716-4733

Mailing address

880 Ave Tito Castro Ste 102
Ponce, PR 00716-4733
Phone (787) 651-6121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260408000503 PR Part B Supplier - Clinic/Group Practice 6204301245 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1497604680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 AVE TITO CASTRO STE 102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164733",
            "telephone_number": "787-651-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 AVE TITO CASTRO STE 102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164733",
            "telephone_number": "787-651-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSUE",
        "authorized_official_title_or_position": "OBGYN",
        "authorized_official_telephone_number": "787-651-6121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACOG"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.