Individual provider Active NPI

Nevid Gilberto Cruz Mendoza

  • Student in an Organized Health Care Education/Training Program
  • Guaynabo, PR
National Provider Identifier
1184353047
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Chalet de Santa Clara #30 Calle Brillante
Guaynabo, PR 00969-6853
Phone
(898) 948-1415
NPI assigned
Jun 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Chalet de Santa Clara #30 Calle Brillante
Guaynabo, PR 00969-6853

Mailing address

Chalets de Santa Clara #30 Calle Brillante
Guaynabo, PR 00969-6853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1184353047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHALETS DE SANTA CLARA #30 CALLE BRILLANTE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009696853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHALET DE SANTA CLARA #30 CALLE BRILLANTE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009696853",
            "telephone_number": "898-948-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ MENDOZA",
        "first_name": "NEVID",
        "middle_name": "GILBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.