Individual provider Active NPI

Rosario N Mendez, MD

  • Specialist
  • Humacao, PR
National Provider Identifier
1023009552
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11,745 Issued in PR
Practice address
8 Calle Flor Gerena S
Suite 205
Humacao, PR 00791-3943
Phone
(787) 641-1919
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11,745 PR Primary

Addresses

Primary practice location

8 Calle Flor Gerena S
Suite 205
Humacao, PR 00791-3943

Mailing address

1704 Calle Crisantemo
San Juan, PR 00927-6332
Phone (939) 644-9727

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
I20120326000259 PR Practitioner - Physical Medicine and Rehabilitation 8628967916 Reassigns benefits to 1 organization
Practice locations: Humacao, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11,745PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Current Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients

Organizations & group practices 3

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1023009552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 CALLE CRISANTEMO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276332",
            "telephone_number": "939-644-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE FLOR GERENA S",
            "address_2": "SUITE 205",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913943",
            "telephone_number": "787-641-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "ROSARIO",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "11,745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.