Hernandez-Amb Medical Clinic, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HERNANDEZ-AMB MEDICAL CLINIC, LLC

Practice address

Carr. 926 KM. 0.4
Bo. Collores
Las Piedras, PR 00771

Phone

(787) 733-2716

Fax

(787) 733-2716

NPI assigned

Apr 25, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Juanita Hernandez, MDNPI 1265586200

Title

Director

Phone

(787) 479-9968

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

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

• Juanita Hernandez, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Las Piedras, PR
  • NPI 1265586200
  Medicare reassignment NPD Authorized official
• Cinthya Gregoria Bosch, PA

  • Medical Physician Assistant
  • Las Piedras, PR
  • NPI 1194532481
  NPD (past)

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1508354515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007710487",
            "telephone_number": "787-733-2716",
            "fax_number": "787-733-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 926 KM. 0.4",
            "address_2": "BO. COLLORES",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-733-2716",
            "fax_number": "787-733-2716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR. 926 KM. 0.4",
            "address_2": "BO. COLLORES",
            "address_purpose": "LOCATION",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "country_code": "US",
            "telephone_number": "787-733-2716",
            "fax_number": "787-733-2716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CARR. 926 KM. 0.4",
            "address_2": "BO. COLLORES",
            "address_purpose": "LOCATION",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "country_code": "US",
            "telephone_number": "787-733-2716",
            "fax_number": "787-733-2716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERNANDEZ-AMB MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-479-9968",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen G Gutierrez
• Lily B Guzman Bosch, M.D.
• Liliana M Guzman-Bicchi, M.D.
• Valerie Hernandez Burgos
• Waldemar Hernandez Flores, ADN
• Alberto Rogelio Hernandez, PSY.D
• Angel Hernandez, O.D.
• Juanita Hernandez, MD
• Marisol Hernandez, HEALTH EDUCATOR MAST
• Vernice Hernandez

• Internal Medicine Physician in Las Piedras, PR
• Providers in Las Piedras, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.