Individual provider Active NPI

Hector Puga Hernandez

  • Driver
  • San Ysidro, CA
National Provider Identifier
1689221558
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
1811 Howard Ave
San Ysidro, CA 92173-1238
Phone
(619) 739-0908
NPI assigned
Aug 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Primary

Addresses

Primary practice location

1811 Howard Ave
San Ysidro, CA 92173-1238

Mailing address

1811 Howard Ave
San Ysidro, CA 92173-1238
Phone (619) 739-0908

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hectorph75@gmail.com Health Information Exchange (HIE)

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": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1689221558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 HOWARD AVE",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921731238",
            "telephone_number": "619-739-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 HOWARD AVE",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921731238",
            "telephone_number": "619-739-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGA HERNANDEZ",
        "first_name": "HECTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hectorph75@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1811 Howard Ave",
            "city": "San Ysidro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921731238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Ysidro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.