Individual provider Active NPI

Juan A Mendoza Ortiz Sr., MD

  • Internal Medicine Physician
  • Cayey, PR
National Provider Identifier
1316012495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8289 Issued in PR
Practice address
Oficina 203 Edificio Profesional
Hospital Menonita Cayey
Cayey, PR 00736
Phone
(787) 263-1010
Fax
(787) 743-7153
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8289 PR Primary

Addresses

Primary practice location

Oficina 203 Edificio Profesional
Hospital Menonita Cayey
Cayey, PR 00736

Mailing address

PO Box 5430
Cagues, PR 00726-5430
Phone (787) 743-7153

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
I20180507000720 PR Practitioner - Internal Medicine 7810251451 Practice locations: Cayey, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8289PRMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316012495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5430",
            "city": "CAGUES",
            "state": "PR",
            "postal_code": "007265430",
            "telephone_number": "787-743-7153",
            "fax_number": "787-743-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFICINA 203 EDIFICIO PROFESIONAL",
            "address_2": "HOSPITAL MENONITA CAYEY",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-263-1010",
            "fax_number": "787-743-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA ORTIZ",
        "first_name": "JUAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.