Individual provider Active NPI

Monica Hernandez-Pastrana, M.D.

  • General Practice Physician
National Provider Identifier
1801106182
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18076 Issued in PR
Practice address
Calle Carite #130 Lago Alto
Trujillo Alto, PUERTO RICO 00976
UM
Phone
(787) 292-3120
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18076 PR Primary

Addresses

Primary practice location

Calle Carite #130 Lago Alto
Trujillo Alto, PUERTO RICO 00976
UM

Mailing address

Bosque del Lago BC-36 Plaza9
Trujillo Alto, PUERTO RICO 00976
UM
Phone (787) 402-1712

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
I20110311000754 PR Practitioner - General Practice 1759563745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neomed Center, IncGroup PAC ID 1850284100, 66 clinicians

Practice addresses (Care Compare)

PO Box
Suite 1277
Gurabo, PR 00778-1277

Urb Lago Alto
Calle Carite 130
Trujillo Alto, PR 00976-6007
Phone 78773723112058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18076PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc. CurrentSince Jun 15, 2015 Accepting new patients
Neomed Center, Inc CurrentSince Jun 15, 2015 Accepting new patients
Neomed Center, Inc Current Accepting new patients

Locations

130 Calle Carite
Trujillo Alto, PR 00976
Phone (787) 292-3120

Organizations & group practices 3

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1801106182",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "BOSQUE DEL LAGO BC-36 PLAZA9",
            "city": "TRUJILLO ALTO",
            "state": "PUERTO RICO",
            "postal_code": "00976",
            "telephone_number": "787-402-1712"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "CALLE CARITE #130 LAGO ALTO",
            "city": "TRUJILLO ALTO",
            "state": "PUERTO RICO",
            "postal_code": "00976",
            "telephone_number": "787-292-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-PASTRANA",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.