Active NPI
Luis Xavier Mendez, RN, BSN
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Bayamon, PR
National Provider Identifier
1033817010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- 96614
- Practice address
- Carr. No.2 KM 8.2
Bo. Juan Sanchez
Bayamon, PR 00960 - Phone
- (787) 763-7575
- NPI assigned
- Feb 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 96614 | PR | Primary |
Addresses
Primary practice location
Carr. No.2 KM 8.2
Bo. Juan Sanchez
Bayamon, PR 00960
Mailing address
Calle 12 Ii3
Urb. Villa Guadalupe
Caguas, PR 00725
Phone (787) 934-9185
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96614 | PR | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1033817010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 12 II3",
"address_2": "URB. VILLA GUADALUPE",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-934-9185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. NO.2 KM 8.2",
"address_2": "BO. JUAN SANCHEZ",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-763-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "LUIS",
"middle_name": "XAVIER",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "PR",
"license": "96614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.