Fabia Mendoza, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3251 Issued in PR

Practice address

20 Ave Antonio R Barcelo Ste 209
Cayey, PR 00736-4107

Phone

(787) 635-5050

NPI assigned

Apr 19, 2015

Sex

Female

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

Practice roles

Locations

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.

• Golden Surgical LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bayamon, PR
  • NPI 1164198933
  Medicare reassignment NPD

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

{
    "created_epoch": "1429401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1134516024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3172",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009603172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 AVE ANTONIO R BARCELO STE 209",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364107",
            "telephone_number": "787-635-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 167",
            "address_2": "Urb. Montanez A-11",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00957",
            "country_code": "US",
            "telephone_number": "787-635-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "FABIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-19",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "3251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freddy R Mendez Torres, MD
• Alicia Mendez, M.D.
• Orban Mendoza Marin, DMD
• Juan A Mendoza Ortiz Sr., MD
• Felix Mendoza Rosa, M.D.
• Ferdinand C. Menendez Morales, M.D.
• Hiradith Menendez, PSY.D.
• Mennonite Diabetes Foundation Inc
• Mennonite General Hospital Inc.
• Josephine Mercado, MSW

• Oral and Maxillofacial Surgery (Dentist) in Cayey, PR
• Providers in Cayey, PR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.