Active NPI
Ines M. Hernandez Rodriguez, M.D.
- Internal Medicine Physician
- Ponce, PR
National Provider Identifier
1629065669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12286
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12286 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Specialist
- San Juan, PR
- NPI 1558456616
-
- Multi-Specialty Clinic/Center
- Ponce, PR
- NPI 1184139602
Internal Medicine
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
- Roshelys M Hernandez Negron, LCDA
- Felix Javier Hernandez Nieves, MD
- Rosana Hernandez Pacheco, MD
- Rafael Hernandez Perez
- Felix F Hernandez Rodriguez, MD
- Nayda Marisa Hernandez Rodriguez
- Rysienid Hernandez Rodriguez
- Carolina Hernandez Rosado, MD
- Jorge Hernandez Ruiz, MD
- Lorena Isabel Hernandez Sanchez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.