Individual provider Active NPI

Brenda L Mendez Arcelay, MD

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1013305580
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
023507 Issued in PR
Practice address
145 Calle Elena Segarra
Mayaguez, PR 00682-6113
Phone
(787) 833-2527
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 023507 PR Primary

Addresses

Primary practice location

145 Calle Elena Segarra
Mayaguez, PR 00682-6113

Mailing address

145 Calle Elena Segarra
Mayaguez, PR 00682-6113
Phone (787) 833-2527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213004274 PR Practitioner - General Practice 4183073208 Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023507PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto de Cancer del Oeste LLC PastSince Jun 1, 2016 Accepting new patients
Prime Oncology Service, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1013305580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CALLE ELENA SEGARRA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826113",
            "telephone_number": "787-833-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CALLE ELENA SEGARRA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826113",
            "telephone_number": "787-833-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ ARCELAY",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.