Individual provider Active NPI

Giomarell Feliciano Mendez, MD

  • General Practice Physician
  • Aguada, PR
National Provider Identifier
1326720053
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23396 Issued in PR
Practice address
93 Calle Colon
Aguada, PR 00602-3054
Phone
(787) 589-7178
NPI assigned
Aug 2, 2023
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23396 PR Primary

Addresses

Primary practice location

93 Calle Colon
Aguada, PR 00602-3054

Mailing address

HC 58 Box 14232
Aguada, PR 00602-9725
Phone (787) 229-4717

Other practice location 1

63 calle mendez vigo
STE 3B Edificio Centro Plaza
Mayaguez, PR 00680
Phone (787) 833-5050

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
I20231108002874 PR Practitioner - General Practice 8426405879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aguada Medical Center Inc.Group PAC ID 0840462727, 4 clinicians

Practice addresses (Care Compare)

Carr 115 KM
Suite 5
Aguada, PR 00602-0090
Phone (787) 589-7400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rafael a. Machin Porrata, LLC CurrentSince Aug 11, 2023 Accepting new patients
Medichem Clinic LLC General Practice PastSince Aug 6, 2023 Accepting new patients
Doctora Magaly Gonzalez Mestre Optometra, CSP PastSince Jan 28, 2024 Accepting new patients
J.J. Sanchez Pediatrics, PSC Past Accepting new patients
Coco Pediatrics LLC PastSince Aug 28, 2021 Accepting new patients

Organizations & group practices 6

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1326720053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 58 BOX 14232",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029725",
            "telephone_number": "787-229-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 CALLE COLON",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023054",
            "telephone_number": "787-589-7178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 calle mendez vigo",
            "address_2": "STE 3B Edificio Centro Plaza",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "00680",
            "country_code": "US",
            "telephone_number": "787-833-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELICIANO MENDEZ",
        "first_name": "GIOMARELL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.