Active NPI
Angela T. Hernandez, M.D.
- Pediatrics Physician
- Guaynabo, PR
National Provider Identifier
1891983599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- #4049
- Practice address
- Fountainbleu VLG
203
Guaynabo, PR 00969-4732 - Phone
- (787) 272-2079
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | #4049 | PR | Primary |
Addresses
Primary practice location
Fountainbleu VLG
203
Guaynabo, PR 00969-4732
Mailing address
PO Box 194199
San Juan, PR 00919-4199
Phone (787) 272-2079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #4049 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1891983599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 194199",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009194199",
"telephone_number": "787-272-2079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FOUNTAINBLEU VLG",
"address_2": "203",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694732",
"telephone_number": "787-272-2079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ANGELA",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "#4049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.