Nelmary Hernandez Rivera, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19973 Issued in PR

Practice address

4B Calle Hostos
Juana Diaz, PR 00795

Phone

(787) 973-0110

NPI assigned

Jun 11, 2018

Last updated

Jun 22, 2018By the provider in NPPES

Sex

Female

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

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

Practice roles

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.

• Internal Medicine and Primary Care PSC

  • Internal Medicine Physician
  • Villalba, PR
  • NPI 1932729845
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1871086223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 4064",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007669827",
            "telephone_number": "787-929-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4B CALLE HOSTOS",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-973-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Calle A",
            "address_2": "Barrio Nuevo Pino",
            "address_purpose": "LOCATION",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "country_code": "US",
            "telephone_number": "787-929-7169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ RIVERA",
        "first_name": "NELMARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Hayman, TERAPISTA FISICO
• Health Admin SVC Inc (Farmacia SNF la Casa del Veterano)
• Health Mediator Inc.
• David Heredia Sierra, MD
• Karelyn Andrea Hernandez Garcia
• Kessia Iris Hernandez Santiago, MD
• Jiaxelis Marie Hernandez-Garcia, PHARM D
• Jatniel Hernandez, R.N.
• Luis Alberto Hernandez
• Vivian Hernandez, PHAMD

• General Practice Physician in Juana Diaz, PR
• Providers in Juana Diaz, 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 Jun 22, 2018; 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.