Individual provider Active NPI

Olga Carolina Torres Mendez, MD

  • Obstetrics & Gynecology Physician
  • Fajardo, PR
National Provider Identifier
1043467483
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
18215 Issued in PR
Practice address
410 Ave General Valero Ste 404
Edif Anejo 2DO Piso Hima San Pablo
Fajardo, PR 00738-3992
Phone
(787) 655-0505
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 18215 PR Primary

Addresses

Primary practice location

410 Ave General Valero Ste 404
Edif Anejo 2DO Piso Hima San Pablo
Fajardo, PR 00738-3992

Mailing address

Urb Country Club
955 Calle Labrador
San Juan, PR 00924
Phone (787) 525-3735

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
I20121114000107 PR Practitioner - Obstetrics/Gynecology 6103077466 Practice locations: Fajardo, PR; Humacao, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

404 Ave General Valero
Fajardo, PR 00738-3998
Phone 78765505054005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18215PRMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1043467483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB COUNTRY CLUB",
            "address_2": "955 CALLE LABRADOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-525-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE GENERAL VALERO STE 404",
            "address_2": "EDIF ANEJO 2DO PISO HIMA SAN PABLO",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383992",
            "telephone_number": "787-655-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES MENDEZ",
        "first_name": "OLGA",
        "middle_name": "CAROLINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "18215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.