Individual provider Active NPI

Yadira Mendez Feliciano, MD

  • Obstetrics & Gynecology Physician
  • Ponce, PR
National Provider Identifier
1275947244
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21303 Issued in PR
Practice address
917 Ave Tito Castro Ste 808
Ponce, PR 00716-4717
Phone
(787) 236-0628
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21303 PR Primary

Addresses

Primary practice location

917 Ave Tito Castro Ste 808
Ponce, PR 00716-4717

Mailing address

PO Box 1359
Aguada, PR 00602-1359
Phone (787) 934-8784

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ymf.obgyn@obgyn

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
I20200429000642 PR Practitioner - Obstetrics/Gynecology 8224468590 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yadira Mendez Feliciano OBGYN LLC Obstetrics & Gynecology CurrentSince Apr 1, 2021 Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Locations

917 Ave Tito Castro
Ste 704
Ponce, PR 00716
Phone (787) 812-7527

917 Ave Tito Castro
Ponce, PR 00716
Phone (787) 560-4314

917 Ave Tito Castro
Ste 808
Ponce, PR 00716
Phone (787) 236-0628

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1275947244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006021359",
            "telephone_number": "787-934-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 AVE TITO CASTRO STE 808",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164717",
            "telephone_number": "787-236-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ FELICIANO",
        "first_name": "YADIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2021-04-27",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "21303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ymf.obgyn@obgyn",
            "affiliation": "N",
            "address_1": "917 Ave Tito Castro Ste 808",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007164717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.