Active NPI
J.C. Island Lithotripsy LLC
- Urology Physician
- Ponce, PR
National Provider Identifier
1386815264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- J.C. ISLAND LITHOTRIPSY LLC
- Practice address
- 909 Ave Tito Castro Saint Lukes Memorial Hospital Inc
Second Floor in Front of Or
Ponce, PR 00716-4717 - Phone
- (787) 844-2080
- Fax
- (787) 840-5390
- NPI assigned
- Mar 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Felix Mendoza-Rosa, MD
- Title
- President
- Phone
- (787) 844-2080
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary | ||
| Lithotripsy Clinic/Center | 261QL0400X |
Addresses
Primary practice location
909 Ave Tito Castro Saint Lukes Memorial Hospital Inc
Second Floor in Front of Or
Ponce, PR 00716-4717
Mailing address
609 Ave Tito Castro Ste 102
PMB 382
Ponce, PR 00716-0200
Phone (787) 844-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038410300 | Medicaid | PR |
Other names 1
- ISLAND LITHOTRIPSY
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PROOFPOINT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Calle Betances
Caguas, PR 00725
Phone (787) 729-0606
917 Ave Tito Castro
Frnt A
Ponce, PR 00716
917 Ave Tito Castro
#2
Ponce, PR 00716
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Cayey, PR
- NPI 1982772141
-
- Urology Physician
- Ponce, PR
- NPI 1922197011
-
- Urology Physician
- Ponce, PR
- NPI 1801969746
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Caguas, PR
- NPI 1760041669
-
- Student in an Organized Health Care Education/Training Program
- Weston, FL
- NPI 1689302697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746489600000",
"number": "1386815264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 AVE TITO CASTRO STE 102",
"address_2": "PMB 382",
"city": "PONCE",
"state": "PR",
"postal_code": "007160200",
"telephone_number": "787-844-2080",
"fax_number": "787-840-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 AVE TITO CASTRO SAINT LUKES MEMORIAL HOSPITAL INC",
"address_2": "SECOND FLOOR IN FRONT OF OR",
"city": "PONCE",
"state": "PR",
"postal_code": "007164717",
"telephone_number": "787-844-2080",
"fax_number": "787-840-5390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J.C. ISLAND LITHOTRIPSY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-18",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A",
"authorized_official_last_name": "MENDOZA-ROSA",
"authorized_official_first_name": "FELIX",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-844-2080",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QL0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Lithotripsy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038410300",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "PROOFPOINT",
"affiliation": "N",
"address_1": "909 Ave Tito Castro Saint Lukes Memorial Hospital Inc",
"address_2": "Second Floor in Front of OR",
"city": "Ponce",
"state": "PR",
"country_code": "US",
"postal_code": "007164717",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "ISLAND LITHOTRIPSY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.