Active NPI
Monica Hernandez-Pastrana, M.D.
- General Practice Physician
National Provider Identifier
1801106182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 18076
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18076 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neomed Center, Inc. | Current | Accepting new patients | |
| Neomed Center, Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Gurabo, PR
- NPI 1790776334
-
- Clinical Medical Laboratory
- Gurabo, PR
- NPI 1518286962
-
- Federally Qualified Health Center (FQHC)
- Naguabo, PR
- NPI 1093357337
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.