Individual provider Active NPI

Pedro J Hernandez, M.D.

  • Surgery Physician
  • San Juan, PR
National Provider Identifier
1689878407
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25871 R Issued in PR
Practice address
Ave Ponce de Leon # 715
Parada 37.5
San Juan, PR 00918-1000
Phone
(787) 758-2000
NPI assigned
Jun 14, 2007
Last updated
Jun 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25871 R PR Primary

Addresses

Primary practice location

Ave Ponce de Leon # 715
Parada 37.5
San Juan, PR 00918-1000

Mailing address

PO Box 70344
PMB 253
San Juan, PR 00936-8344
Phone (787) 757-3073

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
I20120724000340 PR Practitioner - General SurgeryPractitioner - Other (Physician) 6305002130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Puerto Rico School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Ponce de Leon Ave
715 Stop 37.5
San Juan, PR 00918-1000
Phone (787) 771-7934

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
66.19
Improvement activities
40
Cost
73.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25871 RPRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. Surgery CurrentSince Jul 1, 2012 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Sep 7, 2023 Accepting new patients
Recinto de Ciencias Medicas Surgery CurrentSince Sep 7, 2023 Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Centro de Cancer de la Universidad Past Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. Past Accepting new patients

Locations

715 Ave Ponce de Leon
San Juan, PR 00917
Phone 7877582000 ext. 3216

715 Ave Ponce de Leon
#37
San Juan, PR 00917
Phone (787) 474-8878

715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216

BO Monacillos
San Juan, PR 00935

BO Monacillos Centro Medico De
San Juan, PR 00935
Phone 78775825252379

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1689878407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70344",
            "address_2": "PMB 253",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-757-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON # 715",
            "address_2": "PARADA 37.5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181000",
            "telephone_number": "787-758-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "PEDRO",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "25871 R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.