Active NPIIndividual providerSole proprietor

Dr. Ellis I Hernandez, DMD

Dentist, General Practice in San Juan, Puerto Rico

NPI Number1447257050
Practice location
1212 Calle Cadiz, San Juan, PR 00920-3841
Fax
787-782-5547
Last updated
July 18, 2012

Ellis I Hernandez is a Dentist, General Practice based in San Juan, PR. Ellis I Hernandez practices in San Juan, PR and has the professional credentials of DMD. The NPI Number for Ellis I Hernandez is 1447257050 and holds a License No. 1352 (PR). The current practice location address for Ellis I Hernandez is 1212 Calle Cadiz, San Juan, PR 00920-3841 and can be reached out via phone at 787-781-3187 and via fax at 787-782-5547.

Provider Profile Details

NPI Number
1447257050
Provider Name
Ellis I Hernandez
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1212 Calle Cadiz, San Juan, PR 00920-3841
Phone Number
787-781-3187
Fax Number
787-782-5547
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
June 29, 2005
Last Update Date
July 18, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1212 Calle Cadiz
San Juan, PR 00920-3841
Zip
00920-3841
Phone Number
787-781-3187
Fax Number
787-782-5547
San Juan, PR 00920Get directions →

Provider Business Mailing Address Details

Address
Po Box 193392
San Juan, PR 00919-3392
City
San Juan
State
PR
Zip
00919-3392
Phone Number
787-781-3187
Fax Number
787-782-5547

License Information

License Number
1352
License State
PR
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ellis I Hernandez, DMD?

The NPI number of Dr. Ellis I Hernandez, DMD is 1447257050. It was assigned on June 29, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Ellis I Hernandez, DMD?

Dr. Ellis I Hernandez, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 1352.

Where does Dr. Ellis I Hernandez, DMD practice?

The practice location is 1212 Calle Cadiz, San Juan, PR 00920-3841. The office can be reached at 787-781-3187 (phone) or 787-782-5547 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447257050 directly on the NPPES registry website.

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