Provider Demographics
NPI:1437182417
Name:RINCON CHOLES, HERNAN (MD)
Entity Type:Individual
Prefix:DR
First Name:HERNAN
Middle Name:
Last Name:RINCON CHOLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CLEVELAND CLINIC FOUNDATION
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-636-3999
Mailing Address - Fax:216-986-1191
Practice Address - Street 1:CLEVELAND CLINIC FOUNDATION
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-636-3999
Practice Address - Fax:216-986-1191
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239168-1207R00000X, 207RN0300X
OH35.121724207RN0300X, 207R00000X
FLME 116972207RN0300X, 207R00000X
PAMD420936207RN0300X, 207R00000X
TXK1638207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02800737Medicaid
G38979Medicare UPIN
NYRB2208Medicare PIN
NYP00358709Medicare PIN
NYRB1589Medicare PIN