Orban Mendoza Marin, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1232 Issued in PR

Practice address

Baldorioty St Num 4
Cayey, PR 00737

Phone

(787) 738-6011

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1053467654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373128",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007373128",
            "telephone_number": "787-738-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BALDORIOTY ST NUM 4",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00737",
            "telephone_number": "787-738-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA MARIN",
        "first_name": "ORBAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legna Michelle Melendez Jimenez, MS
• Sandra Melendez, BS PH
• Claudia Sofia Mendez Serrano
• Freddy R Mendez Torres, MD
• Alicia Mendez, M.D.
• Juan A Mendoza Ortiz Sr., MD
• Felix Mendoza Rosa, M.D.
• Fabia Mendoza, DMD
• Ferdinand C. Menendez Morales, M.D.
• Hiradith Menendez, PSY.D.

• Dentist in Cayey, PR
• Providers in Cayey, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.