Individual provider Active NPI

Ines M. Hernandez Rodriguez, M.D.

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1629065669
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12286 Issued in PR
Practice address
2413 Ave Jose de Diego
La Alhambra
Ponce, PR 00716-3833
Phone
(787) 842-1294
Fax
(787) 848-9319
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12286 PR Primary

Addresses

Primary practice location

2413 Ave Jose de Diego
La Alhambra
Ponce, PR 00716-3833

Mailing address

2413 Ave Jose de Diego
La Alhambra
Ponce, PR 00716-3833
Phone (787) 842-1294

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040810000945 PR Practitioner - Internal Medicine 9931171915 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12286PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation Internal Medicine Past Accepting new patients
Centro de Investigacion Educacion Y Servicios Medicos Para la Diabetes Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ines.hernandez.rodiguez.1@29290.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1629065669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 AVE JOSE DE DIEGO",
            "address_2": "LA ALHAMBRA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163833",
            "telephone_number": "787-842-1294",
            "fax_number": "787-848-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 AVE JOSE DE DIEGO",
            "address_2": "LA ALHAMBRA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163833",
            "telephone_number": "787-842-1294",
            "fax_number": "787-848-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ RODRIGUEZ",
        "first_name": "INES",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.