Individual provider Active NPI

Jorge Wilson Mendez Ortiz, MD

  • General Practice Physician
  • Manati, PR
National Provider Identifier
1255746152
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18800 Issued in PR
Practice address
Carr #2 KM 47.0
Campo Alegre
Manati, PR 00674
Phone
(787) 854-9300
NPI assigned
Jun 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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 18800 PR Primary

Addresses

Primary practice location

Carr #2 KM 47.0
Campo Alegre
Manati, PR 00674

Mailing address

677 Calle Aguas Calientes
Urb. Venus Gardens
San Juan, PR 00926-4618
Phone (787) 397-4516

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
I20141030001293 PR Practitioner - General Practice 3072758903 Reassigns benefits to 1 organization
Practice locations: Manati, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Doctors Center Hospital Arecibo IncGroup PAC ID 4880773605, 3 clinicians

Practice addresses (Care Compare)

Carr 2 KM
1 Barrio San Daniel
Arecibo, PR 00612-0001
Phone (787) 650-2600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge W. Mendez Ortiz Current Accepting new patients
Doctors Center Hospital Arecibo Inc CurrentSince Jan 17, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1255746152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 CALLE AGUAS CALIENTES",
            "address_2": "URB. VENUS GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264618",
            "telephone_number": "787-397-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 47.0",
            "address_2": "CAMPO ALEGRE",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ ORTIZ",
        "first_name": "JORGE",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.