Active NPI
Rosana Hanke Herrero, DMD
- Pediatric Dentistry
- Hato Rey, PR
National Provider Identifier
1659367795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2472
- Practice address
- 576 TNT Cesar Gonzales Ave.
Suite 307
Hato Rey, PR 00918 - Phone
- (787) 753-1475
- NPI assigned
- Sep 23, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2472 | PR | Primary |
Addresses
Primary practice location
576 TNT Cesar Gonzales Ave.
Suite 307
Hato Rey, PR 00918
Mailing address
100 Ave la Sierra
Apt 9a
San Juan, PR 00926-4316
Phone (787) 293-5067
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26168 | Other | AMERICAN HEALTH | |
| 7899 | Other | INTERNATIONAL MEDICAL IMC | |
| 40291 HA | Other | SEGUROS DE SERVICIOS SSS | |
| 9180469 | Other | HUMANA REFORMA | |
| 9180469 | Other | HUMANA INSURANCE | |
| 043097 | Other | LA CRUZ AZUL DE PR | |
| 237026 | Other | PREFERRED HEALTH | |
| 1595628 | Other | UNITED CONCORDIA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2472 | PR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247184000000",
"number": "1659367795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 AVE LA SIERRA",
"address_2": "APT 9A",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009264316",
"telephone_number": "787-293-5067",
"fax_number": "787-293-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 TNT CESAR GONZALES AVE.",
"address_2": "SUITE 307",
"city": "HATO REY",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-753-1475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANKE HERRERO",
"first_name": "ROSANA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2009-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PR",
"license": "2472",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH",
"identifier": "26168",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL IMC",
"identifier": "7899",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SEGUROS DE SERVICIOS SSS",
"identifier": "40291 HA",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA REFORMA",
"identifier": "9180469",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INSURANCE",
"identifier": "9180469",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL DE PR",
"identifier": "043097",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "237026",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1595628",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hato Rey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.