Individual provider Active NPI

Jorge Luis Mendez Colon, M.D.

  • General Practice Physician
  • Moca, PR
National Provider Identifier
1174508956
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8914 Issued in PR
Practice address
Calle Barbosa # 255
Moca, PR 00676-0000
Phone
(787) 877-7700
NPI assigned
Dec 14, 2005
Last updated
Oct 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 8914 PR Primary

Addresses

Primary practice location

Calle Barbosa # 255
Moca, PR 00676-0000

Mailing address

PO Box 388
Calle Barbosa #255
Moca, PR 00676-0388
Phone (787) 877-7700

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
I20120918000920 PR Practitioner - Family PracticePractitioner - General Practice 5496903387 Reassigns benefits to 1 organization
Practice locations: Moca, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

65 Calle Pedro Santos
Moca, PR 00676-4015
Phone (787) 877-7700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lab Lorimar LLC CurrentSince Jul 17, 2001 Accepting new patients
Doctores Asociados del Noroeste, Inc CurrentSince Jun 26, 2000 Accepting new patients
Lab. Lorimar LLC CurrentSince Aug 5, 2025 Accepting new patients

Locations

65 Calle Pedro Santos
Moca, PR 00676
Phone (787) 818-1405

Organizations & group practices 4

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1174508956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "address_2": "CALLE BARBOSA #255",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760388",
            "telephone_number": "787-877-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BARBOSA # 255",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760000",
            "telephone_number": "787-877-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ COLON",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.