Individual provider Active NPI

Angel Hernandez, O.D.

  • Optician
  • Las Piedras, PR
National Provider Identifier
1760882153
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
000805 Issued in PR
Practice address
#65 St.Luis Pales Matos
Urb.Jardines de Oriente
Las Piedras, PR 00000-0771
Phone
(787) 909-2549
NPI assigned
Sep 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 000805 PR Primary

Addresses

Primary practice location

#65 St.Luis Pales Matos
Urb.Jardines de Oriente
Las Piedras, PR 00000-0771

Mailing address

#65 St.Luis Pales Matos
Urb.Jardines de Oriente
Las Piedras, PR 00000-0771
Phone (787) 909-2549

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000805PRMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1760882153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#65 ST.LUIS PALES MATOS",
            "address_2": "URB.JARDINES DE ORIENTE",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "000000771",
            "telephone_number": "787-909-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#65 ST.LUIS PALES MATOS",
            "address_2": "URB.JARDINES DE ORIENTE",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "000000771",
            "telephone_number": "787-909-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANGEL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "000805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.