Individual provider Active NPI

Rosana Hernandez Pacheco, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1811759202
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
023656 Issued in PR
Practice address
Hcda la Matilde 5184 Calle Trapiche
Ponce, PR 00728-2426
Phone
(787) 923-2440
NPI assigned
Jan 30, 2024
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 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 023656 PR Primary

Addresses

Primary practice location

Hcda la Matilde 5184 Calle Trapiche
Ponce, PR 00728-2426

Mailing address

Hcda la Matilde 5184 Calle Trapiche
Ponce, PR 00728-2426
Phone (787) 923-2440

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
I20240412003772 PR Practitioner - General Practice 4284073032 Reassigns benefits to 2 organizations
Practice locations: Ponce, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023656PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Globalsky Health Puerto Rico LLC General Practice CurrentSince Nov 11, 2025 Accepting new patients

Locations

1654 Calle Tulipan
Ste 100
San Juan, PR 00927
Phone (939) 585-7305

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1811759202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HCDA LA MATILDE 5184 CALLE TRAPICHE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282426",
            "telephone_number": "787-923-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HCDA LA MATILDE 5184 CALLE TRAPICHE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282426",
            "telephone_number": "787-923-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ PACHECO",
        "first_name": "ROSANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.