Individual provider Active NPI

Edgar Mendez Negron, M.D.

  • Internal Medicine Physician
  • Aguada, PR
National Provider Identifier
1396769253
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15096 Issued in PR
Practice address
Bo Asoamante Carr 115
Ave Rotario KM 22.4
Aguada, PR 00604
Phone
(787) 868-5857
Fax
(787) 868-5857
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15096 PR Primary

Addresses

Primary practice location

Bo Asoamante Carr 115
Ave Rotario KM 22.4
Aguada, PR 00604

Mailing address

PO Box 1706
Aguada, PR 00602-1706
Phone (787) 868-5857

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
I20050707000127 PR Practitioner - Internal MedicinePractitioner - General Practice 4688610009 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Individual Practice CurrentSince Mar 29, 2005 Accepting new patients
G4 Medical of Puerto Rico, Inc Past Accepting new patients
Serv Emerg del Noroeste Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1396769253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006021706",
            "telephone_number": "787-868-5857",
            "fax_number": "787-868-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO ASOAMANTE CARR 115",
            "address_2": "AVE ROTARIO KM 22.4",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00604",
            "telephone_number": "787-868-5857",
            "fax_number": "787-868-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ NEGRON",
        "first_name": "EDGAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.