ARLENE HERNANDEZ M.D.
NPI 1790976405
Internal Medicine - Pulmonary Disease in Bayamon, PR

Active since August 07, 2007PECOS EnrolledAccepts Medicare Assignment
B5 CALLE SANTA CRUZ, BAYAMON, PR 00961(787) 930-4845 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arlene Hernandez M.d. NPPES

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

ARLENE HERNANDEZ M.D. (NPI 1790976405) is an individual pulmonary disease provider in Bayamon, Puerto Rico, licensed in Louisiana (MD.203082) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Hima San Pablo Bayamon, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1790976405
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameARLENE HERNANDEZCredential: M.D.
Location AddressB5 CALLE SANTA CRUZBayamon, PR 00961-6902
Mailing Address120 Ave Chardon Ste 137San Juan, PR 00918-1721 · (787) 951-6060
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 7, 2007
Last NPPES UpdateJuly 17, 2015
NPI 1790976405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in LA · MD.203082 Licensed in PA · MD448130
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 16063 (PR)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD.203082 (LA)
B5 CALLE SANTA CRUZ, Bayamon, PR 00961

Other Identifiers 1

Medicaid1883310LA

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

Arlene 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 ID143397810
PECOS Enrollment IDI20080922000484
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
65 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
59 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hima San Pablo Bayamon

Acute Care Hospitals · Bayamon, PR
1/5 CMS rating
OwnershipProprietary
CMS Certification Number400109
Location70 Calle Santa CruzBayamon, PR 00961 · Bayamon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00961 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
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$114.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Critical Care Medicine)
B5 CALLE SANTA CRUZ, URB. SANTA CRUZ
BAYAMON, PR 00961
Internal Medicine (Endocrinology, Diabetes & Metabolism)
B5 CALLE SANTA CRUZ
BAYAMON, PR 00961

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 Arlene Hernandez's NPI number?

The NPI number for Arlene Hernandez is 1790976405. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Arlene Hernandez located?

Arlene Hernandez practices at B5 Calle Santa Cruz, Bayamon, PR 00961. The listed phone number is (787) 930-4845.

What is Arlene Hernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Arlene Hernandez enrolled in Medicare?

Yes. Arlene 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.

Is Arlene Hernandez affiliated with any hospitals?

According to CMS data, Arlene Hernandez is affiliated with Hima San Pablo Bayamon.

When was this NPI record last updated?

The NPPES record for Arlene Hernandez was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.