DR. GUSTAVO A. HERNANDEZ M.D.
NPI 1376620468
Ophthalmology in San Juan, PR

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
METROPOLITAN HOSPITAL SUITE 202, SAN JUAN, PR 00921(787) 781-8182(787) 793-8341 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gustavo A. Hernandez M.d. NPPES

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

DR. GUSTAVO A. HERNANDEZ M.D. (NPI 1376620468) is an individual ophthalmology provider in San Juan, Puerto Rico, licensed in Puerto Rico (12206) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (1992).

NPPES Registry Identity

NPI1376620468
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. GUSTAVO A. HERNANDEZCredential: M.D.
Location AddressMETROPOLITAN HOSPITAL SUITE 202San Juan, PR 00921
Mailing AddressPostal Mailbox 295, 35 Jc Borbon #67Guaynabo, PR 00969-5375 · (787) 781-8182 · Fax (787) 793-8341
Fax(787) 793-8341
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1992
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1376620468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PR · 12206
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
METROPOLITAN HOSPITAL SUITE 202, San Juan, PR 00921

Other Identifiers 2

Medicare UPING47440PR
Medicare ID-Type Unspecified89015PR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Gustavo A. Hernandez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123028495
PECOS Enrollment IDI20070110000470
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
163 services112 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
123 services111 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
62 services57 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
54 services53 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
44 services32 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
44 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00921 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Gustavo Hernandez's NPI number?

The NPI number for Gustavo Hernandez is 1376620468. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Gustavo Hernandez located?

Gustavo Hernandez practices at Metropolitan Hospital Suite 202, San Juan, PR 00921. The listed phone number is (787) 781-8182.

What is Gustavo Hernandez's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Gustavo Hernandez enrolled in Medicare?

Yes. Gustavo Hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gustavo Hernandez was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.