Individual provider Active NPI

Isamarie Veguilla-Hernandez, MD

  • General Practice Physician
  • Fajardo, PR
National Provider Identifier
1942344916
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16539 Issued in PR
Practice address
Ave General Valero
#313-B
Fajardo, PR 00738-3949
Phone
(787) 655-9655
Fax
(787) 655-9655
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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 16539 PR Primary

Addresses

Primary practice location

Ave General Valero
#313-B
Fajardo, PR 00738-3949

Mailing address

GT45 Calle 207
3Ra Ext. Country Club
Carolina, PR 00982-2630
Phone (787) 316-2151

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
I20070418000277 PR Practitioner - General Practice 3577668649 Practice locations: Fajardo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

313 Ave General Valero
B
Fajardo, PR 00738-4855
Phone (787) 655-9655

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: ihernandez@1451.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1942344916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GT45 CALLE 207",
            "address_2": "3RA EXT. COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822630",
            "telephone_number": "787-316-2151",
            "fax_number": "787-655-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE GENERAL VALERO",
            "address_2": "#313-B",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383949",
            "telephone_number": "787-655-9655",
            "fax_number": "787-655-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGUILLA-HERNANDEZ",
        "first_name": "ISAMARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.