Active NPI
Manuel Enrique Hernandez Puig Jr., MD
- Nephrology Physician
- Manati, PR
National Provider Identifier
1821528035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 23654
- Practice address
- 200 Calle Hernandez Carrion Ste 411
Manati, PR 00674-4652 - Phone
- (888) 888-8888
- NPI assigned
- Jun 20, 2017
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 23654 | PR | Primary |
Addresses
Primary practice location
200 Calle Hernandez Carrion Ste 411
Manati, PR 00674-4652
Mailing address
PO Box 141044
Arecibo, PR 00614-1044
Phone (787) 598-1033
Other practice location 1
107 Carr 159
Corozal Shopping Village Oficina 10-a
Corozal, PR 00783-2435
Phone (888) 888-8888
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240626000486 | PR | Practitioner - Nephrology | 5991248486 | Practice locations: Corozal, PR; Manati, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1821528035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 141044",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006141044",
"telephone_number": "787-598-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CALLE HERNANDEZ CARRION STE 411",
"city": "MANATI",
"state": "PR",
"postal_code": "006744652",
"telephone_number": "888-888-8888"
}
],
"practiceLocations": [
{
"address_1": "107 CARR 159",
"address_2": "COROZAL SHOPPING VILLAGE OFICINA 10-A",
"address_purpose": "LOCATION",
"city": "COROZAL",
"state": "PR",
"postal_code": "007832435",
"country_code": "US",
"telephone_number": "888-888-8888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ PUIG",
"first_name": "MANUEL",
"middle_name": "ENRIQUE",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2024-07-09",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PR",
"license": "23654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
- Kristean Xiomar Hernandez Hernandez, AUD
- Anaida E Hernandez Lalindez, BA
- Armando Ismael Hernandez Lugo, MD
- Antonella Hernandez Marquez
- Edgar Hernandez Montalvo, M.D.
- Ingrid Hernandez Ramos, PSYD
- Adriana Carolina Hernandez Santini
- Jaime Luis Hernandez Velez, PHARMD
- Arsenio Ramirez Hernandez, MD
- Eliseo Hernandez, D.M. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.