Individual provider Active NPI

Hector R Hernandez Sr., MD

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1962576793
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4189 Issued in PR
Practice address
431 Ave Ponce de Leon
Suite 901 Edif National Plaza
San Juan, PR 00917-3418
Phone
(787) 767-4250
Fax
(787) 767-4252
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4189 PR Primary

Addresses

Primary practice location

431 Ave Ponce de Leon
Suite 901 Edif National Plaza
San Juan, PR 00917-3418

Mailing address

PO Box 50905
Toa Baja, PR 00950-0905
Phone (787) 767-4250

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
I20031120000001 PR Practitioner - Internal Medicine 6901700244 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

431 Ave Ponce de Leon
San Juan, PR 00917-3418
Phone (787) 767-4250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4189PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Medico San Carlos Past Accepting new patients

Organizations & group practices 1

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1962576793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50905",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009500905",
            "telephone_number": "787-767-4250",
            "fax_number": "787-767-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 AVE PONCE DE LEON",
            "address_2": "SUITE 901 EDIF NATIONAL PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173418",
            "telephone_number": "787-767-4250",
            "fax_number": "787-767-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "HECTOR",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "4189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.