Eliseo Hernandez, D.M. D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1494 Issued in PR

Practice address

Carretera #2 KM 47.8
Doctor Center Hospital Torre Medical Suite # 401
Manati, PR 00674-0257

Phone

(787) 854-5633

Fax

(787) 854-5633

NPI assigned

May 30, 2006

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1770530230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 257",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740257",
            "telephone_number": "787-854-5633",
            "fax_number": "787-854-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA #2 KM 47.8",
            "address_2": "DOCTOR CENTER HOSPITAL TORRE MEDICAL SUITE # 401",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740257",
            "telephone_number": "787-854-5633",
            "fax_number": "787-854-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELISEO",
        "name_prefix": "Dr.",
        "credential": "D.M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Enrique Hernandez Puig Jr., MD
• Ingrid Hernandez Ramos, PSYD
• Adriana Carolina Hernandez Santini
• Jaime Luis Hernandez Velez, PHARMD
• Arsenio Ramirez Hernandez, MD
• Jarysbel Hernandez, RN
• Jorge Hernandez
• Jose A Hernandez, BOCOP C PED RPT
• Jose Enrique Hernandez, MD
• Samuel Hernandez, RESP. THERAPIST

• General Practice Dentistry in Manati, PR
• Providers in Manati, 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 Sep 16, 2008; 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.