Active NPI
Maria Ismenia Hernandez, MD
- Specialist
- Bayamon, PR
National Provider Identifier
1720112667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5916
- Practice address
- Urb. Vista Bella 7TH Street
L-11
Bayamon, PR 00956-4841 - Phone
- (787) 780-7002
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 5916 | PR | Primary |
Addresses
Primary practice location
Urb. Vista Bella 7TH Street
L-11
Bayamon, PR 00956-4841
Mailing address
Urb. Vista Bella 7TH Street
L-11
Bayamon, PR 00956-4841
Phone (787) 780-7002
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5916 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720112667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. VISTA BELLA 7TH STREET",
"address_2": "L-11",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564841",
"telephone_number": "787-780-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. VISTA BELLA 7TH STREET",
"address_2": "L-11",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564841",
"telephone_number": "787-780-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MARIA",
"middle_name": "ISMENIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "5916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.