Active NPI
Suleima Judith Hernandez, M.D.
- General Practice Physician
- Isabela, PR
National Provider Identifier
1922326917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17920
- 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, 2010
- 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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cossma, Inc. | Current | Accepting new patients | |
| Cossma Inc | Current | Accepting new patients | |
| Policlinica Dr. Luis Rodriguez Carrasquillo, PSC | Past | Accepting new patients | |
| Carolina Wound & Skin Care LLC | General Practice | Past | 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.
-
- Primary Care Clinic/Center
- Cidra, PR
- NPI 1437235793
-
- Clinical Medical Laboratory
- Humacao, PR
- NPI 1407408347
-
- Health Service Clinic/Center
- Carolina, PR
- NPI 1447081492
General Practice
-
- Health Service Clinic/Center
- Carolina, PR
- NPI 1346570207
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.