Bernardo E Hernandez de Paz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1219 Issued in PR

Practice address

4 Calle Calderon Mujica
Canovanas, PR 00729-3213

Phone

(787) 876-6480

Fax

(787) 876-6175

NPI assigned

Mar 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760509491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C8 CALLE 3",
            "address_2": "VILLAS DE SAN FRANCISCO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276446",
            "telephone_number": "787-876-6480",
            "fax_number": "787-876-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE CALDERON MUJICA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293213",
            "telephone_number": "787-876-6480",
            "fax_number": "787-876-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ DE PAZ",
        "first_name": "BERNARDO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla I Haddock Legares
• Health Chiropractic and More LLC
• Health Chiropractic LLC
• Health Chiropractic PR
• Health Primary Care Corp
• Nilda Leticia Hernandez
• Hildaris Hiraldo
• Laura Hiraldo
• Home Labs to Go, Inc.
• HV Labs LLC

• General Practice Dentistry in Canovanas, PR
• Providers in Canovanas, PR by specialty
• General Practice Dentistry in Puerto Rico

• 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.
• 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.