Organization Active NPI

Hernandez X-Ray Center LLC

  • Diagnostic Radiology Physician
  • Penuelas, PR
National Provider Identifier
1992291678
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
HERNANDEZ X-RAY CENTER LLC
Practice address
907 Calle Munoz Rivera
Penuelas, PR 00624-1401
Phone
(787) 913-0429
NPI assigned
Jul 6, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Norberto Rodriguez Caraballo
Title
President / Owner
Phone
(787) 320-8583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20181108002919 PR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8224382395 Practice locations: Penuelas, PR

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X

Addresses

NPPES NPI Registry

Primary practice location

907 Calle Munoz Rivera
Penuelas, PR 00624-1401

Mailing address

907 Calle Munoz Rivera
Penuelas, PR 00624-1401
Phone (787) 913-0429

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2025.

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1992291678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 CALLE MUNOZ RIVERA",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006241401",
            "telephone_number": "787-913-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 CALLE MUNOZ RIVERA",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006241401",
            "telephone_number": "787-913-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ X-RAY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ CARABALLO",
        "authorized_official_first_name": "NORBERTO",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "787-320-8583"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penuelas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.