Organization Active NPI

Hernandez Gonzalez Orthopedic Services, PSC

  • Orthopaedic Trauma Physician
  • Bayamon, PR
National Provider Identifier
1619394640
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
9578 Issued in PR
Legal business name
HERNANDEZ GONZALEZ ORTHOPEDIC SERVICES, PSC
Practice address
B1 Calle Santa Cruz Suite 403
Carimed Plaza
Bayamon, PR 00961-6928
Phone
(787) 798-7050
Fax
(787) 787-2107
NPI assigned
Mar 27, 2014
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Johnny Hernandez, M.D.
Title
President
Phone
(787) 798-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 9578 PR Primary

Addresses

Primary practice location

B1 Calle Santa Cruz Suite 403
Carimed Plaza
Bayamon, PR 00961-6928

Mailing address

B11 Eastside CT
Baldwin Park
Guaynabo, PR 00969-4117
Phone (787) 798-7050

Other identifiers 1

IdentifierTypeStateIssuer
9057OtherPRAMERICAN HEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1619394640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B11 EASTSIDE CT",
            "address_2": "BALDWIN PARK",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694117",
            "telephone_number": "787-798-7050",
            "fax_number": "787-787-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B1 CALLE SANTA CRUZ SUITE 403",
            "address_2": "CARIMED PLAZA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616928",
            "telephone_number": "787-798-7050",
            "fax_number": "787-787-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ GONZALEZ ORTHOPEDIC SERVICES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-798-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "PR",
            "license": "9578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "9057",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.