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JOSE JUAN HERMINA
NPI 1063170819
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since November 29, 2021PECOS Enrolled
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET, BOSTON, MA 02114(787) 642-9168 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2026, Jun 10, 2022, Nov 29, 2021 (3 updates tracked since 2021).

About Jose Juan Hermina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE JUAN HERMINA (NPI 1063170819) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS and is a graduate of University Central Del Caribe Escuela De Medicina (2022).

NPPES Registry Identity

NPI1063170819
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSE JUAN HERMINA
Location AddressMASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREETBoston, MA 02114
Mailing Address55 Fruit StBoston, MA 02114-2696
Phone(787) 642-9168
Sole ProprietorYes
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 2022
Enumeration DateNovember 29, 2021
Last NPPES UpdateJune 10, 20223 updates tracked since enumeration
NPPES CertifiedJune 3, 2022
✔ NPI 1063170819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

MASSACHUSETTS GENERAL HOSPITAL, Boston, MA 02114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Juan Hermina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103338488
PECOS Enrollment IDI20260611000162
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN MY-TU LAM MBBS
Internal Medicine (Cardiovascular Disease)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 724-7738
ALAKA RAY M.D.
Internal Medicine
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 726-2066
MEGHAN E SISE M.D.
Internal Medicine (Nephrology)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 726-2862
HUGH G AUCHINCLOSS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 726-2000
ANGELA M. JACQUES MD
Pediatrics
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114
Suffolk County (617) 726-2066
NICOLE J LOOK-HONG MD, MSC
Surgery (Surgical Oncology)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114
Suffolk County (617) 724-3868
CORINNA M ELLIOTT MA
Student in an Organized Health Care Education/Training Program
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 724-5600
KIRAN J AGARWAL-HARDING MD
Orthopaedic Surgery
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114
Suffolk County (617) 726-2942

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Hermina's NPI number?

The NPI number for Jose Hermina is 1063170819. It was assigned to this individual provider in the NPPES registry on November 29, 2021.

Where is Jose Hermina located?

Jose Hermina practices at Massachusetts General Hospital 55 Fruit Street, Boston, MA 02114. The listed phone number is (787) 642-9168.

What is Jose Hermina's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jose Hermina enrolled in Medicare?

Yes. Jose Hermina is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jose Hermina was last updated on June 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.