Individual provider Active NPI

Suleima Judith Hernandez, M.D.

  • General Practice Physician
  • Isabela, PR
National Provider Identifier
1922326917
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17920 Issued in PR
Practice address
155 Calle Faro
Urbanizacion Alturas del Mar
Isabela, PR 00662-5603
Phone
(787) 232-5396
NPI assigned
May 14, 2010
Last updated
Aug 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17920 PR Primary

Addresses

Primary practice location

155 Calle Faro
Urbanizacion Alturas del Mar
Isabela, PR 00662-5603

Mailing address

155 Calle Faro
Urbanizacion Alturas del Mar
Isabela, PR 00662-5603
Phone (787) 232-5396

Other names 1

  • Dr. Suleima Judith Hernandez Jimenez Former name

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
I20101103000726 PR Practitioner - General Practice 7719171768 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Aug 4, 2014 Accepting new patients
Cossma Inc CurrentSince Aug 4, 2014 Accepting new patients
Policlinica Dr. Luis Rodriguez Carrasquillo, PSC Past Accepting new patients
Carolina Wound & Skin Care LLC General Practice PastSince Aug 18, 2024 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1922326917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CALLE FARO",
            "address_2": "URBANIZACION ALTURAS DEL MAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006625603",
            "telephone_number": "787-232-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CALLE FARO",
            "address_2": "URBANIZACION ALTURAS DEL MAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006625603",
            "telephone_number": "787-232-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "SULEIMA",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SULEIMA",
            "last_name": "HERNANDEZ JIMENEZ",
            "middle_name": "JUDITH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.