Carlos Mejia, CONTRACTOR
Individual provider Active NPI Contractor · Rio Grande, PR
NPI 1154843662 · NPPES record last updated Jul 17, 2017
Key facts
- NPI
- 1154843662
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 2256827 (PR)
- Practice address
- 61 Calle D Rio Grande Hills
Rio Grande, PR 00745 - Phone
- (787) 550-6934
- Fax
- (787) 550-6934
- NPI assigned
- Jul 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2256827 | PR | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 2256827 | PR | Yes |
Addresses
Primary practice location
61 Calle D Rio Grande Hills
Rio Grande, PR 00745
Mailing address
61 Calle D Rio Grande Hills
Rio Grande, PR 00745
Phone (787) 550-6934
Other providers in Rio Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.