Danny Josue Mendez Gomez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

702 Issued in PR

Practice address

Centro Quiropractico de Puerto Rico
Fajardo Market Square, Carr 3 KM 45.4
Fajardo, PR 00738

Phone

(939) 276-7979

NPI assigned

Sep 6, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dream Box Inc.

  • Chiropractor
  • Fajardo, PR
  • NPI 1760945380
  NPD (past)

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1144879768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND COSTA BRAVA",
            "address_2": "APT 2-302",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "00735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO QUIROPRACTICO DE PUERTO RICO",
            "address_2": "FAJARDO MARKET SQUARE, CARR 3 KM 45.4",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "939-276-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ GOMEZ",
        "first_name": "DANNY",
        "middle_name": "JOSUE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dannyj.mendezgomez@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Google Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "Centro Quiropractico de Puerto Rico",
            "address_2": "Fajardo Market Square, Carr. #3 KM 45.4",
            "city": "Fajardo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dolores Ann MC Clurg Santiago, 0749P
• Med Squad Transport LLC
• Mildred Medina, PHARMACIST
• Maritza Melendez Nieves, MD
• Antonio Melendez
• Jose M Mendez Jiminian, MD
• Dennisse Mendez, PHARMD
• Jose Luis Mendez, MD
• Keren Marla Menendez
• Angelique Mercado-Perez

• Chiropractor in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.