Active NPI
Joel Mendez
- Mental Health Counselor
- San Juan, PR
National Provider Identifier
1003343807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 101YM0800X
- Practice address
- 815 Calle Ana Otero Apt 562
San Juan, PR 00924-2162 - Phone
- (787) 628-5681
- NPI assigned
- May 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 101YM0800X | PR | Primary |
Addresses
Primary practice location
815 Calle Ana Otero Apt 562
San Juan, PR 00924-2162
Mailing address
815 Calle Ana Otero Apto 562
SJ
SJ, PR - PUERTO RICO 00924
UM
Phone (787) 628-5681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101YM0800X | PR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1003343807",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "815 CALLE ANA OTERO APTO 562",
"address_2": "SJ",
"city": "SJ",
"state": "PR - PUERTO RICO",
"postal_code": "00924",
"telephone_number": "787-628-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 CALLE ANA OTERO APT 562",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009242162",
"telephone_number": "787-628-5681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "JOEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PR",
"license": "101YM0800X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.