Individual provider Active NPI

Jose Enrique Hernandez, MD

  • Neuroradiology Physician
  • Rio Piedras, PR
National Provider Identifier
1902849128
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
12455 Issued in PR
Practice address
Urb. Las Lomas
Carr. 21 T3 #2
Rio Piedras, PR 00921
Phone
(787) 781-0058
Fax
(787) 782-9971
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 12455 PR Primary

Addresses

Primary practice location

Urb. Las Lomas
Carr. 21 T3 #2
Rio Piedras, PR 00921

Mailing address

405 Ave Esmeralda
Suite 2 PMB 346
Guaynabo, PR 00969-4466
Phone (787) 781-0058

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315000004 PR Practitioner - Diagnostic Radiology 8820987118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University Central del Caribe Escuela de Medicina, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan MRI Associates PSCGroup PAC ID 9335223494, 3 clinicians

Practice addresses (Care Compare)

Ave Fragoso 4a
S4 Villa Fontana
Carolina, PR 00985-0001
Phone (787) 757-0572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan MRI Associates PSC Neuroradiology Current Accepting new patients
Diagnostic Imaging Center, PSC Past Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Past Accepting new patients
CT Radiology Complex LLC Neuroradiology Past Accepting new patients
CT Radiology Complex, LLC Neuroradiology Past Accepting new patients

Locations

405 Ave Esmeralda
Ste 2
Guaynabo, PR 00969
Phone (787) 277-5477

405 Ave Esmeralda
Guaynabo, PR 00969
Phone (787) 630-7411

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902849128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 AVE ESMERALDA",
            "address_2": "SUITE 2 PMB 346",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694466",
            "telephone_number": "787-781-0058",
            "fax_number": "787-782-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LAS LOMAS",
            "address_2": "CARR. 21 T3 #2",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-781-0058",
            "fax_number": "787-782-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PR",
            "license": "12455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.