Jorge Luis Reyes-Mendoza, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

90122 Issued in PR

Practice address

Lopez Sicardo Ave. BLDG. B18 Apt. 208
Res. Manuel a. Perez
San Juan, PR 00923

Phone

(787) 360-3531

NPI assigned

Apr 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1285255653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOPEZ SICARDO AVE. BLDG. B18 APT. 208",
            "address_2": "RES. MANUEL A. PEREZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-360-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOPEZ SICARDO AVE. BLDG. B18 APT. 208",
            "address_2": "RES. MANUEL A. PEREZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-360-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-MENDOZA",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "PR",
            "license": "90122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiorella Enid Reyes-Baez, MD, MS
• Karina Reyes-Castillo, MD
• Magdie Reyes-Diaz, P.T.
• Marcos Javier Reyes-Estrada, PHD
• Khristine Marie Reyes-Germosen
• Maria Leticia Reyes-Rabanillo, MD
• Emmanuel Reyes-Ramos, M.D.
• Rodolfo J Reyes-Ramos, MD
• Edda Luna Reyes-Rodriguez, PHD
• Daniel Ernesto Reyes-Ruiz, MD

• Medical-Surgical Registered Nurse in San Juan, PR
• Providers in San Juan, PR by specialty
• Medical-Surgical Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.