Individual provider Active NPI

Rafael Trinidad Hernandez, M. D.

  • Endocrinology, Diabetes & Metabolism Physician
  • San Juan, PR
National Provider Identifier
1932357092
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
17930 Issued in PR
Practice address
San Jorge Medical Building
252 Calle San Jorge Ste 301
San Juan, PR 00912-3239
Phone
(787) 729-7777
Fax
(787) 620-0045
NPI assigned
Sep 3, 2008
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 17930 PR Primary

Addresses

Primary practice location

San Jorge Medical Building
252 Calle San Jorge Ste 301
San Juan, PR 00912-3239

Mailing address

PO Box 79284
Carolina, PR 00984-9284
Phone (787) 729-7777

Other identifiers 1

IdentifierTypeStateIssuer
17930OtherPRINTERNAL MEDICINE- ENDOCRINOLOGY

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
I20100909001074 PR Practitioner - EndocrinologyPractitioner - Internal MedicinePractitioner - Geriatric Medicine 4981729290 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Geriatric Medicine, Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

252 Calle San Jorge
Suite 301
San Juan, PR 00912-3240
Phone (787) 729-7777

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1932357092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79284",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009849284",
            "telephone_number": "787-729-7777",
            "fax_number": "787-620-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JORGE MEDICAL BUILDING",
            "address_2": "252 CALLE SAN JORGE STE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123239",
            "telephone_number": "787-729-7777",
            "fax_number": "787-620-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINIDAD HERNANDEZ",
        "first_name": "RAFAEL",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "17930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE- ENDOCRINOLOGY",
            "identifier": "17930",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.