Individual provider Active NPI

Carmen A Mendez Molina, MD

  • Anesthesiology Physician
  • San Juan, PR
National Provider Identifier
1417934332
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
12903 Issued in PR
Practice address
Ave. Ponce de Leon Parada 37 1/2
Suite 608 Torre Auxilio Mutuo
San Juan, PR 00926-7064
Phone
(787) 777-8181
Fax
(787) 777-8180
NPI assigned
Dec 30, 2005
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 12903 PR Primary

Addresses

Primary practice location

Ave. Ponce de Leon Parada 37 1/2
Suite 608 Torre Auxilio Mutuo
San Juan, PR 00926-7064

Mailing address

Turquesa #30
Senderos En Montehiedra
San Juan, PR 00926-7064
Phone (787) 636-8272

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
I20130828000573 PR Practitioner - Anesthesiology 6305089160 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Medico del Norte Inc CurrentSince Jan 19, 2023 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Jan 19, 2023 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, 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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1417934332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TURQUESA #30",
            "address_2": "SENDEROS EN MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267064",
            "telephone_number": "787-636-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. PONCE DE LEON PARADA 37 1/2",
            "address_2": "SUITE 608 TORRE AUXILIO MUTUO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267064",
            "telephone_number": "787-777-8181",
            "fax_number": "787-777-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ MOLINA",
        "first_name": "CARMEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "12903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.