Angel Ivan Hernandez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2029 Issued in PR

Practice address

Urb. Brasilia St. Marginal M-19
Suite #3
Vega Baja, PR 00693

Phone

(787) 858-2400

Fax

(787) 858-2400

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1821038191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3654",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006923654",
            "telephone_number": "787-858-2400",
            "fax_number": "787-858-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. BRASILIA ST. MARGINAL M-19",
            "address_2": "SUITE #3",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-858-2400",
            "fax_number": "787-858-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANGEL",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Guadalupe Garcia
• Guzman Medical Center CSP
• Elizabeth Guzman, MD
• Lillian Hernandez Cortes, DMD
• Hernandez Enterprise Corp
• Juan Diego Hernandez, D.M.D
• Julianys Hernandez
• His Pharmacy LLC
• Hospicio Divino Salvador, Inc.
• Innovative Hospitalist Medicine Care, Inc.

• General Practice Dentistry in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.