Individual provider Active NPI

Mikel Mendez Perez, M.D

  • General Practice Physician
  • San Sebastian, PR
National Provider Identifier
1154705465
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
019137 Issued in PR
Practice address
126 Calle Pavia Fernandez Ste 201
San Sebastian, PR 00685-2285
Phone
(787) 238-3344
Fax
(833) 901-2956
NPI assigned
Jul 16, 2015
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 019137 PR Primary
General Practice Physician 208D00000X 19137 PR

Addresses

Primary practice location

126 Calle Pavia Fernandez Ste 201
San Sebastian, PR 00685-2285

Mailing address

PO Box 5338
San Sebastian, PR 00685-5338
Phone (787) 424-0687

Other identifiers 1

IdentifierTypeStateIssuer
660902326MedicaidPR

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
I20160112002419 PR Practitioner - General PracticePractitioner - General Surgery 6800104894 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019137PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc CurrentSince Dec 26, 2018 Accepting new patients
Bella Vista Hospital, Inc CurrentSince Dec 26, 2018 Accepting new patients
M&P Medical Services General Practice CurrentSince Oct 1, 2018 Accepting new patients

Organizations & group practices 3

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1154705465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5338",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006855338",
            "telephone_number": "787-424-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CALLE PAVIA FERNANDEZ STE 201",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852285",
            "telephone_number": "787-238-3344",
            "fax_number": "833-901-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ PEREZ",
        "first_name": "MIKEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "019137",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19137",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660902326",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.