Individual provider Active NPI

Tanya Ortiz Hernandez, MD

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1801653381
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23691 Issued in PR
Practice address
Carr 349 KM 2.7
Cerro de Las Mesas
Mayaguez, PR 00681-1750
Phone
(787) 834-6000
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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 23691 PR Primary

Addresses

Primary practice location

Carr 349 KM 2.7
Cerro de Las Mesas
Mayaguez, PR 00681-1750

Mailing address

PO Box 60401
San Antonio, PR 00690-9003
Phone (787) 321-9651

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
I20240514003015 PR Practitioner - General Practice 0446691059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro de Salud de Lares IncGroup PAC ID 0840272985, shared by 4 NPIs, 32 clinicians

Practice addresses (Care Compare)

PO Box
Suite 379
Lares, PR 00669-0379

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital, Inc CurrentSince Mar 18, 2024 Accepting new patients
Bella Vista Hospital Inc CurrentSince Mar 18, 2024 Accepting new patients

Organizations & group practices 2

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1801653381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60401",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006909003",
            "telephone_number": "787-321-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 349 KM 2.7",
            "address_2": "CERRO DE LAS MESAS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811750",
            "telephone_number": "787-834-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ HERNANDEZ",
        "first_name": "TANYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.