DR. RENE A HERNANDEZ M.D.
NPI 1932100088
Internal Medicine - Rheumatology in Bayamon, PR

NPI Status: Active since August 10, 2005

Contact Information

1845 CARR 2
SUITE 809
BAYAMON, PR
ZIP 00959
Phone: (787) 798-1070
Fax: (787) 798-1004

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 53
  • Internal Medicine
  • Rheumatology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RENE HERNANDEZ

This page provides the complete NPI Profile along with additional information for Rene Hernandez, an internist established in Bayamon, Puerto Rico with a medical specialization in Internal Medicine, focusing in rheumatology and more than 53 years of experience. He graduated from Foreign Dental Schools in 1973. The healthcare provider is registered in the NPI registry with number 1932100088 assigned on August 2005. The practitioner's primary taxonomy code is 207RR0500X with license number 4764 (PR). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1932100088
Provider Name
DR. RENE A HERNANDEZ M.D.
Other Name
RENE HERNANDEZ HERNANDEZ M.D.
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
1845 CARR 2 SUITE 809 BAYAMON, PR 00959
Location Phone
(787) 798-1070
Location Fax
(787) 798-1004
Mailing Address
1845 CARR 2 SUITE 809 BAYAMON, PR 00959
Mailing Phone
(787) 798-1070
Mailing Fax
(787) 798-1004
Medical School Name
FOREIGN DENTAL SCHOOLS
Graduation Year
1973
Is Sole Proprietor?
Yes
Enumeration Date
08-10-2005
Last Update Date
05-01-2015
Code Navigator

An internist like Rene Hernandez is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Rheumatology

Taxonomy Code
207RR0500X
Type
Allopathic & Osteopathic Physicians
License No.
4764
License State
PR
Taxonomy Description
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C-79508MEDICARE UPIN (02)PR 

Medicare Participation & PECOS Enrollment Status

Rene Hernandez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Rene Hernandez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4981897626

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101026000682

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 30 times for 13 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.66 for a new patient copayment and $25.06 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 00959 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.65
  • Minimum New Patient Price $56.86
  • Maximum New Patient Price $172.44
  • Average New Patient Copayment $32.66
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.24
  • Minimum Established Patient Price $18.24
  • Maximum Established Patient Price $140.44
  • Average Established Patient Copayment $25.06
  • Minimum Established Patient Copayment $4.56
  • Maximum Established Patient Copayment $35.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. RENE A HERNANDEZ M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1932100088
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2962200016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 2 + 0 + 0 + 0 + 1 + 6 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1932100088 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

MARIA CONCEPCION MUNOZ MD

Specialist

1845 CARR 2
STE 606
BAYAMON, PR
ZIP 00959

(787) 798-1645

DR. FELIX A JIMENEZ

Pediatrics

(Pediatric Gastroenterology)

1845 CARR 2
SUITE 410
BAYAMON, PR
ZIP 00959

(787) 787-5160

FELIPE CARRO DMD

Dentist

(Periodontics)

1845 CARR 2
BAYAMON, PR
ZIP 00959

(787) 798-2690

DR. JULIO CESAR MANTERO HORMAZABAL M.D.

Internal Medicine

1845 CARR 2
STE 606
BAYAMON, PR
ZIP 00959

(787) 798-1645

DR. ORLANDO GONZALEZ VAZQUEZ M.D.

Ophthalmology

1845 CARR 2
BAYAMON MEDICAL PLAZA SUITE 510
BAYAMON, PR
ZIP 00959

(787) 620-6567

ANGEL J. ARIZMENDI M.D.

Internal Medicine

1845 CARR 2
SUITE 505 BAYAMON MEDICAL PLAZA
BAYAMON, PR
ZIP 00959

(787) 269-3015

CARLOS A LEYVA JORDAN LLC

Pediatrics

(Pediatric Endocrinology)

1845 CARR 2
SUITE 213 BAYAMON MEDICAL PLAZA
BAYAMON, PR
ZIP 00959

(787) 622-8451

DR. BENEDICTO COLON-PEREZ MD

Urology

1845 CARR 2
STE 602
BAYAMON, PR
ZIP 00959

(787) 622-0700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932100088, enumerated as an "individual" on August 10, 2005.

The provider is located at 1845 CARR 2 SUITE 809 BAYAMON, PR 00959 and the phone number is (787) 798-1070.

Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.