Idamys Angelica Herrera Abuhazi, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16115 Issued in PR

Practice address

1433 Calle San Enrique
Altamesa
San Juan, PR 00921-3709

Phone

(787) 505-1848

NPI assigned

Mar 8, 2006

Last updated

Feb 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1740257781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 CALLE SAN ENRIQUE",
            "address_2": "ALTAMESA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213709",
            "telephone_number": "787-505-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 CALLE SAN ENRIQUE",
            "address_2": "ALTAMESA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213709",
            "telephone_number": "787-505-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA ABUHAZI",
        "first_name": "IDAMYS",
        "middle_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Rafael Hernandez, DMD
• Yanira Hernandez, M.D.
• Yeriam Michelle Hernandez
• Zailyn Y Hernandez
• Edgar Herran Garcia, RN, BSN, CDE, WSOC
• Carlos Alberto Herrera Jimenez, MD
• Christina Herrera Ortega, PSY.D
• Jose Carlos Herrera Ortiz, MD
• Bladimir Herrera Perez, PHARMD
• Normarie Herrera Rivera

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.

Verify at the official NPI Registry.