Cristobal Ivan Mendez Ruiz

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16796 Issued in PR

Practice address

Calle Andres Mendez Liciaga
#6 A
San Sebastian, PR 00685

Phone

(787) 585-0450

Fax

(787) 896-2160

NPI assigned

Jun 25, 2007

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

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

Specialty

General Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Centro de Medicina Primaria Y Preventiva del Dr Cristobal Mendez, Inc.

  • General Practice Physician
  • San Sebastian, PR
  • NPI 1841584224
  Medicare reassignment NPD Authorized official
• Mendez Laboratory Clinic Inc

  • Clinical Medical Laboratory
  • San Sebastian, PR
  • NPI 1740823681
  NPD Authorized official
• Western Medical Group P.S.C.

  • Health Maintenance Organization
  • San Sebastian, PR
  • NPI 1881254498
  NPD Authorized official

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1326244674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE ANDRES MENDEZ LICIAGA",
            "address_2": "#6 A",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-585-0450",
            "fax_number": "787-896-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ANDRES MENDEZ LICIAGA",
            "address_2": "#6 A",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-585-0450",
            "fax_number": "787-896-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ RUIZ",
        "first_name": "CRISTOBAL",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medlab,Corp
• Giovanny Miguel Melo, MD
• Mendez Laboratory Clinic Inc
• Amilcar Arnaldo Mendez Perez, PHARM.D
• Mikel Mendez Perez, M.D
• Shainees S Mendez Santiago
• Cynthia Mendez Segarra, PHARM. TEC.
• Sonya Ailed Mendez-Rodriguez, PHT
• Erlando Mendez, M.D.
• Jorge I Mendez, MD

• General Practice Physician in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.