Individual provider Active NPI

Javier A Mendez Ruiz, MD

  • Allergy & Immunology Physician
  • Mayaguez, PR
National Provider Identifier
1205086410
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
18237 Issued in PR
Practice address
Office Park # I
349 Ave. Hostos Suite 102-D
Mayaguez, PR 00680-1509
Phone
(787) 832-5748
Fax
(787) 832-5994
NPI assigned
Sep 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 18237 PR Primary

Addresses

Primary practice location

Office Park # I
349 Ave. Hostos Suite 102-D
Mayaguez, PR 00680-1509

Mailing address

Office Park # I
349 Ave. Hostos Suite 102-D
Mayaguez, PR 00680-1509
Phone (787) 832-5748

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
I20150327000768 PR Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9032436225 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Puerto Rico School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Calle Carrau
Mayaguez, PR 00680-7014
Phone (787) 510-8629

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: jmendezruiz@2257.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1205086410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OFFICE PARK # I",
            "address_2": "349 AVE. HOSTOS SUITE 102-D",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801509",
            "telephone_number": "787-832-5748",
            "fax_number": "787-832-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFFICE PARK # I",
            "address_2": "349 AVE. HOSTOS SUITE 102-D",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801509",
            "telephone_number": "787-832-5748",
            "fax_number": "787-832-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ RUIZ",
        "first_name": "JAVIER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PR",
            "license": "18237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.