Active NPI
Dimary Ortiz Mendez I, MD
- General Practice Physician
- Mayaguez, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14094
- Practice address
- 740 Ave. Hostos , Ste. 311, Cond. Medical Center Plaza
Mayaguez, PR 00682-1541 - Phone
- (787) 249-5062
- NPI assigned
- Jul 19, 2006
- Last updated
- Nov 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN558 | FL | |
| General Practice Physician | 208D00000X | 14094 | PR | Primary |
Addresses
Primary practice location
740 Ave. Hostos , Ste. 311, Cond. Medical Center Plaza
Mayaguez, PR 00682-1541
Mailing address
49 Carr 307 Apartado 108
Edificios Olas A8, Caboqueron Resort
Boqueron, PR 00622-9768
Phone (787) 249-5062
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141306000114-001 | Other | CCN | |
| HS203A | Other | PR | PTAN |
| DD319A | Other | PR | PTAN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syd Global Medical Group Puerto Rico Inc | General Practice | Current | Accepting new patients |
| Clinica Yaguez, Inc. | Current | Accepting new patients | |
| Clinica Yaguez, Inc | Current | Accepting new patients | |
| Clinica Yaguez Inc | Current | Accepting new patients | |
| Centro Diagnostico Y Tratamiento Dr Caparros Inc | Past | Accepting new patients | |
| Rincon Medical Center | Past | Accepting new patients | |
| Rincon Medical Center Inc | Past | Accepting new patients | |
| Centro Diagnostico Y Tratamiento Dr Caparros Inc. | General Practice | Past | Accepting new patients |
| Orlando Family Physicians, LLC | General Practice | Past | Accepting new patients |
Locations
117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Mayaguez, PR
- NPI 1326069220
-
dba Pavia Health Clinic Guanica
- Emergency Medical Services (Emergency Medicine) Physician
- Guanica, PR
- NPI 1811455413
-
- General Practice Physician
- Mayaguez, PR
- NPI 1285388116
-
dba Laboratorio Clinico CDT Dr Caparros Inc
- Clinical Medical Laboratory
- Utuado, PR
- NPI 1144358169
-
- General Practice Physician
- Utuado, PR
- NPI 1659330884
-
- Emergency Care Clinic/Center
- Rincon, PR
- NPI 1265478028
-
dba Rincon Medical Center Inc Laboratory
- Clinical Medical Laboratory
- Rincon, PR
- NPI 1477580678
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1316966468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 CARR 307 APARTADO 108",
"address_2": "EDIFICIOS OLAS A8, CABOQUERON RESORT",
"city": "BOQUERON",
"state": "PR",
"postal_code": "006229768",
"telephone_number": "787-249-5062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 AVE. HOSTOS , STE. 311, COND. MEDICAL CENTER PLAZA",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006821541",
"telephone_number": "787-249-5062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ MENDEZ",
"first_name": "DIMARY",
"name_suffix": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2021-11-29",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN558",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "141306000114-001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "HS203A",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "DD319A",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.