Individual provider Active NPI

Pedro Jose Velez Mendoza, MEDICINE DOCTOR

  • General Practice Physician
  • Juncos, PR
National Provider Identifier
1336891001
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23350 Issued in PR
Practice address
33 Calle Munoz Rivera
Juncos, PR 00777-3116
Phone
(787) 713-6801
NPI assigned
Jan 24, 2022
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 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 23350 PR Primary

Addresses

Primary practice location

33 Calle Munoz Rivera
Juncos, PR 00777-3116

Mailing address

Urb Condado Moderno
Calle8 K6
Caguas, PR 00725
Phone (787) 628-8348

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
I20231031003887 PR Practitioner - General Practice 8820444565 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23350PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc. CurrentSince May 7, 2024 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Jul 25, 2024 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Neomed Center, Inc CurrentSince May 7, 2024 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Jul 25, 2024 Accepting new patients
Cardiologia Medica Integrada, Inc. CurrentSince Feb 11, 2024 Accepting new patients
Cardio and Vascular Unlimited Services C.S.P PastSince Feb 11, 2024 Accepting new patients
Hospital Menonita Guayama Inc PastSince Feb 1, 2022 Accepting new patients

Locations

33 Calle Munoz Rivera
Juncos, PR 00777
Phone (787) 713-6801

Organizations & group practices 8

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": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1336891001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB CONDADO MODERNO",
            "address_2": "CALLE8 K6",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-628-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALLE MUNOZ RIVERA",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773116",
            "telephone_number": "787-713-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ MENDOZA",
        "first_name": "PEDRO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MEDICINE DOCTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-24",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

Verify at the official NPI Registry.