Miriam Hernandez Hernandez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15775 Issued in PR

Practice address

Carr. 417 KM 3.0 Bo. Asomante
Aguada, PR 00602

Phone

(787) 868-7777

Fax

(787) 868-7777

NPI assigned

Sep 26, 2006

Last updated

Jun 22, 2020By the provider in NPPES

Sex

Female

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• MHH Medical Services LLC

  • General Practice Physician
  • Aguada, PR
  • NPI 1639795826
  Medicare reassignment NPD
• Centro de Vacunacion Policlinica Dr. Radames Marin, Inc.

  • Clinic/Center
  • Yauco, PR
  • NPI 1992847107
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1528169737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 VILLAS DE SOTOMAYOR",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022620",
            "telephone_number": "787-868-7777",
            "fax_number": "787-868-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 417 KM 3.0 BO. ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-7777",
            "fax_number": "787-868-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ HERNANDEZ",
        "first_name": "MIRIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GVS Medical & Aesthetic Clinic
• Alfred Joel Haber
• Health and Alternative Medicine Group
• Health Management & Logistics Group, Inc.
• Healthy Spine Chiropractic LLC
• Jeysha Marie Hernandez Orosco
• Iraida Hernandez Perez, MA
• Jesus Emanuel Hernandez Soto, MD, PA
• Anabel Hernandez-Mantilla, PT
• Marie Bernadine Hidalgo - Rivera, MD

• General Practice Physician in Aguada, PR
• Providers in Aguada, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.