NPIMap

Individual provider Active NPI

Roberto M. Vendrell, MD

  • Gastroenterology Physician
  • Guaynabo, PR
National Provider Identifier
1407830250
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
16266 Issued in PR
Practice address
#11 Carazo Street
Bajos
Guaynabo, PR 00969-0000
Phone
(787) 220-4053
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 16266 PR Primary

Addresses

Primary practice location

#11 Carazo Street
Bajos
Guaynabo, PR 00969-0000

Mailing address

PO Box 2320
Guaynabo, PR 00970-2320
Phone (787) 428-7313

Other identifiers 1

IdentifierTypeStateIssuer
169858101MedicaidTX

Other names 1

  • Dr. Roberto M Vendrell Whitney Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090518000533 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 2264490051 Reassigns benefits to 1 organization
Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Suite 200 Centro Comercial Reparto
Ave Americo Miranda
Rio Piedras, PR 00921
Phone (787) 758-7910

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy262
Upper gastrointestinal (GI) endoscopy for acid reflux186

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince May 19, 2012 Accepting new patients
Recinto de Ciencias Medicas Gastroenterology CurrentSince May 19, 2012 Accepting new patients
Dallas County Hospital District PastSince Jan 1, 1990 Accepting new patients
Dallas County Hospital District PastSince Jan 1, 1990 Accepting new patients
Dallas County Hospital District PastSince Jan 1, 1990 Accepting new patients
Dallas County Hospital District PastSince Jan 1, 1990 Accepting new patients
Dallas County Hospital District PastSince Jan 1, 1990 Accepting new patients
Dallas County Hospital District PastSince Jan 1, 1990 Accepting new patients
Dallas County Hospital District PastSince Jan 1, 1990 Accepting new patients
Acl Gastro PSC Gastroenterology Past Accepting new patients
Dallas County Hospital District PastSince Jan 1, 1990 Accepting new patients
Dallas County Hospital District PastSince Jan 1, 1990 Accepting new patients
Dallas County Hospital District PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1407830250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2320",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009702320",
            "telephone_number": "787-428-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#11 CARAZO STREET",
            "address_2": "BAJOS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009690000",
            "telephone_number": "787-220-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDRELL",
        "first_name": "ROBERTO",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "16266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169858101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTO",
            "last_name": "VENDRELL WHITNEY",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.