Individual provider Active NPI

Carmen Sara Hernandez, SW

  • Social Worker
  • Rio Piedras, PR
National Provider Identifier
1659194256
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11039 Issued in PR
Practice address
371 Calle Jose de Diego
Rio Piedras, PR 00929-0025
Phone
(787) 620-5100
Fax
(787) 250-0529
NPI assigned
Nov 4, 2024
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11039 PR Primary

Addresses

Primary practice location

371 Calle Jose de Diego
Rio Piedras, PR 00929-0025

Mailing address

371 Calle Jose de Diego
Rio Piedras, PR 00929-0025
Phone (787) 620-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1659194256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 CALLE JOSE DE DIEGO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009290025",
            "telephone_number": "787-620-5100",
            "fax_number": "787-250-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 CALLE JOSE DE DIEGO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009290025",
            "telephone_number": "787-620-5100",
            "fax_number": "787-250-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CARMEN",
        "middle_name": "SARA",
        "credential": "SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "11039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.