Individual provider Active NPI

Josely A Carreras Hernandez, M. D.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1629227632
Registry record updated Jan 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17932 Issued in PR
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

Updated by the provider on Jan 19, 2013

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
17932PRMDInternal Medicine Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.