Individual provider Active NPI

Dimary Ortiz Mendez I, MD

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1316966468
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14094 Issued in PR
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
141306000114-001OtherCCN
HS203AOtherPRPTAN
DD319AOtherPRPTAN

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
I20060915000370 PR Practitioner - General Practice 9931104460 Reassigns benefits to 1 organization
Practice locations: Arecibo, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Syd Global Medical Group Puerto Rico Inc General Practice CurrentSince Feb 13, 2022 Accepting new patients
Clinica Yaguez, Inc. Current Accepting new patients
Clinica Yaguez, Inc CurrentSince Jul 1, 2022 Accepting new patients
Clinica Yaguez Inc CurrentSince Jul 1, 2022 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 PastSince Jan 5, 2025 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.

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

Verify at the official NPI Registry.