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Deactivated NPI 1902930175 Deactivated / Inactive NPI Male Practitioner

Jose A Hernandez , BOCOP C PED RPT

Prosthetist • Manati, PR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jose Hernandez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 16, 2007
NPI Deactivation Date July 06, 2007
Total Practice Duration ~1 Years of Practice (2007 – 2007)

Professional Overview & Biography Verified Profile Summary

Jose Hernandez, BOCOP C PED RPT was a registered Prosthetist practicing in Manati, PR. Throughout an active medical career spanning 1 years, Jose Hernandez provided care at the practice location at J11 CALLE ELLIOT VELEZ until profile deactivation on 2007-07-06.

Practice Location & Contact Primary Location

Practice Address

J11 Calle Elliot Velez
Urb Atenas

Manati, PR 006744616

Telephone 7878545055
Fax 7877678484
Associated Practice Facility / Clinic
🏢 Asistencia Dorada Inc Facility NPI 1932658689

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Manati, PR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Manati, PR (5 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License DE CPO02314

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License MD C15272

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License DE CPO02314

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Prosthetist

NUCC Taxonomy Code: 224P00000X

State License MD C15272

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
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Updated Practice Location April 24, 2018

Registered at J11 CALLE ELLIOT VELEZ, URB ATENAS, MANATI, PR 006744616 (Tel: 7878545055)

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Updated Business Mailing Address April 24, 2018

Registered at PO BOX 56, MANATI, PR 006740056 (Tel: 7878545055)

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Provider Name / Credentials Updated April 24, 2018

Recorded as JOSE HERNANDEZ, BOCOP C PED RPT

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2018

Orthotist (License #CPO02314 in DE)

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NPI Profile Deactivated July 06, 2007

Record deactivated on July 06, 2007

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Initial NPI Registration & Enumeration March 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902930175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2007
Last Update: April 24, 2018
Deactivation Date: July 06, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 56

Manati, PR 006740056

Phone: 7878545055

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.