Active NPI
Juan E Hernandez, M.D.
- General Practice Physician
- Aguadilla, PR
National Provider Identifier
1730425323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 020270
- Practice address
- Carr #2 (Marginal) KM 119.2
Bo Caimital Alto
Aguadilla, PR 00603 - Phone
- (787) 658-7111
- Fax
- (787) 658-7122
- NPI assigned
- Dec 31, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 020270 | PR | Primary |
Addresses
Primary practice location
Carr #2 (Marginal) KM 119.2
Bo Caimital Alto
Aguadilla, PR 00603
Mailing address
PO Box 1993
Isabela, PR 00662-1993
Phone (787) 239-9143
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140515000953 | PR | Practitioner - General Practice | 6103049317 | Practice locations: Aguadilla, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020270 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1730425323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1993",
"city": "ISABELA",
"state": "PR",
"postal_code": "006621993",
"telephone_number": "787-239-9143",
"fax_number": "787-872-9216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR #2 (MARGINAL) KM 119.2",
"address_2": "BO CAIMITAL ALTO",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-658-7111",
"fax_number": "787-658-7122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JUAN",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-31",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "020270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.