Edgar Herran Garcia, RN, BSN, CDE, WSOC

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

002 Issued in PR

Practice address

Ext. Roosevelt
Calle Eddie Gracia 463
San Juan, PR 00918

Phone

(787) 664-0054

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1700096922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 TAMARACK CT APT 10",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096038",
            "telephone_number": "787-410-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXT. ROOSEVELT",
            "address_2": "CALLE EDDIE GRACIA 463",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-664-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 East Hospital Road",
            "address_2": "Family Medicine Clinic",
            "address_purpose": "LOCATION",
            "city": "Fort Gordon",
            "state": "GA",
            "postal_code": "30905",
            "country_code": "US",
            "telephone_number": "706-787-2927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRAN GARCIA",
        "first_name": "EDGAR",
        "name_prefix": "Mr.",
        "credential": "RN, BSN, CDE, WSOC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "Z7SRKQLJOQ",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "PR",
            "license": "2894-A",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "PR",
            "license": "002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor M Hernandez, M.D.
• Victor Rafael Hernandez, DMD
• Yanira Hernandez, M.D.
• Yeriam Michelle Hernandez
• Zailyn Y Hernandez
• Idamys Angelica Herrera Abuhazi, M.D.
• Carlos Alberto Herrera Jimenez, MD
• Christina Herrera Ortega, PSY.D
• Jose Carlos Herrera Ortiz, MD
• Bladimir Herrera Perez, PHARMD

• Diabetes Educator Registered Nurse in San Juan, PR
• Providers in San Juan, PR by specialty
• Diabetes Educator Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.