Kendrick Ray Hernandez Crespo, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

023013 Issued in PR

Practice address

HC 4 Box 19560
Camuy, PR 00627-7637

Phone

(787) 242-3166

NPI assigned

Jul 26, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1821541830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 19560",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006277637",
            "telephone_number": "787-242-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 19560",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006277637",
            "telephone_number": "787-242-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ CRESPO",
        "first_name": "KENDRICK",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2022-09-22",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Jose Guzman Santiago, DC
• Karen Dalia Guzman-Rosa
• Helwe CSP
• Lourdes C. Hermina Alago
• Cristina Hernandez Cancel
• Hernandez Group LLC
• Hernandez Group LLC
• Ambar I. Hernandez Hernandez, PSY.D
• Stephanie Marie Hernandez Jimenez
• Oscar A Hernandez Lopez Sr., MD

• General Practice Physician in Camuy, PR
• Providers in Camuy, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.

Verify at the official NPI Registry.