Individual provider Active NPI

Eduardo Joel Hernandez, M.D.

  • Hematology & Oncology Physician
  • San Juan, PR
National Provider Identifier
1780049650
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
19085 Issued in PR
Practice address
1418 Calle Americo Salas
San Juan, PR 00909-2139
Phone
(787) 523-6944
NPI assigned
Dec 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 19085 PR Primary

Addresses

Primary practice location

1418 Calle Americo Salas
San Juan, PR 00909-2139

Mailing address

1418 Calle Americo Salas
San Juan, PR 00909-2139
Phone (787) 523-6944

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220906001953 PR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7416331798 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hernandez-Pons Hematology Oncology LLC Single Specialty CurrentSince Oct 1, 2021 Accepting new patients

Locations

21 Calle Betances
Caguas, PR 00725
Phone (787) 473-6995

1418 Calle Americo Salas
Santurce, PR 00909
Phone (787) 523-6944

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1780049650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 CALLE AMERICO SALAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092139",
            "telephone_number": "787-523-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 CALLE AMERICO SALAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092139",
            "telephone_number": "787-523-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "EDUARDO",
        "middle_name": "JOEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-21",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "19085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.