Individual provider Active NPI

Renier J Mendez, M.D.

  • Interventional Pain Medicine Physician
  • Bayamon, PR
National Provider Identifier
1093804924
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
5790 Issued in PR
Practice address
E22 Calle Santa Cruz
Urb. Santa Cruz
Bayamon, PR 00961-6905
Phone
(787) 740-4286
Fax
(787) 787-9082
NPI assigned
Oct 11, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 5790 PR Primary

Addresses

Primary practice location

E22 Calle Santa Cruz
Urb. Santa Cruz
Bayamon, PR 00961-6905

Mailing address

4B Calle Meadow LN
Urb. Georgetown
Guaynabo, PR 00966-2602
Phone (787) 740-4286

Other names 1

  • Dr. Renier Mendez de Guzman Professional name

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
I20091215000574 PR Practitioner - Interventional Pain Management 3072653450 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

E22 Calle Santa Cruz
Bayamon, PR 00961-6905
Phone (787) 740-4286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5790PRMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Pain Management & Rehabilitation Institute Inc PastSince Mar 24, 2009 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093804924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4B CALLE MEADOW LN",
            "address_2": "URB. GEORGETOWN",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662602",
            "telephone_number": "787-740-4286",
            "fax_number": "787-787-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E22 CALLE SANTA CRUZ",
            "address_2": "URB. SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616905",
            "telephone_number": "787-740-4286",
            "fax_number": "787-787-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "RENIER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PR",
            "license": "5790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENIER",
            "last_name": "MENDEZ DE GUZMAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.