Active NPI
Johnny Hernandez Gonzalez
- Orthopaedic Trauma Physician
- Bayamon, PR
National Provider Identifier
1811962178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- 9578
- Practice address
- Carimed PLZ
B-1 Calle Santa Cruz Suite 403
Bayamon, PR 00961-6928 - Phone
- (787) 798-7070
- Fax
- (787) 787-2107
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | 9578 | PR | Primary |
Addresses
Primary practice location
Carimed PLZ
B-1 Calle Santa Cruz Suite 403
Bayamon, PR 00961-6928
Mailing address
B11 Eastside CT
Baldwin Park
Guaynabo, PR 00969-4117
Phone (787) 798-7070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6210026 | Other | PR | HUMANA |
| 81746 | Other | PR | TRIPLE S |
| 067660 | Other | PR | CRUZ AZUL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Orthopaedic Trauma | Current | Accepting new patients |
Locations
Centro Medico De
San Juan, PR 00935
Phone (781) 763-4149
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.
-
- Orthopaedic Surgery Physician
- San Juan, PR
- NPI 1598840829
Orthopaedic Trauma
-
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1811962178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B11 EASTSIDE CT",
"address_2": "BALDWIN PARK",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694117",
"telephone_number": "787-798-7070",
"fax_number": "787-787-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARIMED PLZ",
"address_2": "B-1 CALLE SANTA CRUZ SUITE 403",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616928",
"telephone_number": "787-798-7070",
"fax_number": "787-787-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ GONZALEZ",
"first_name": "JOHNNY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "PR",
"license": "9578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "6210026",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "81746",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "067660",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Danny Heredia
- Carlos J Hernadez Sr.
- Boyd Hernandez Collazo, MD
- Angel Wilfredo Hernandez Colon, M.D.
- Hernandez Gonzalez Orthopedic Services, PSC
- Cynthia Ivette Hernandez Loyola, LIC
- Carlos M Hernandez Mendez, PHARMD
- Carlos Hernandez Ortiz, D.P.M.
- Eddy E Hernandez Perez, MD
- Maria del Carmen Hernandez Perez, MA. PSY.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.