Active NPI
Josely A Carreras Hernandez, M. D.
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1629227632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17932
- Practice address
- Ave Ponce de Leon Torre Auxilio Mutuo
Suite 717
San Juan, PR 00917 - Phone
- (787) 765-0489
- Fax
- (787) 765-0402
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 17932 | PR | Primary |
Addresses
Primary practice location
Ave Ponce de Leon Torre Auxilio Mutuo
Suite 717
San Juan, PR 00917
Mailing address
Ave Ponce de Leon Torre Auxilio Mutuo
Suite 717
San Juan, PR 00917
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 |
|---|---|---|---|---|
| I20100909001030 | PR | Practitioner - Internal Medicine | 6103941406 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
735 Ave Ponce de Leon
Suite 717
San Juan, PR 00917-5030
Phone (787) 765-0489
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17932 | PR | MD | Internal Medicine Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358553600000",
"number": "1629227632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE PONCE DE LEON TORRE AUXILIO MUTUO",
"address_2": "SUITE 717",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE PONCE DE LEON TORRE AUXILIO MUTUO",
"address_2": "SUITE 717",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-765-0489",
"fax_number": "787-765-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRERAS HERNANDEZ",
"first_name": "JOSELY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2013-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "17932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2013; 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.