Active NPI
Ricardo Rosario-Mendoza, M.D.
- Specialist
- San Juan, PR
National Provider Identifier
1427024389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4879
- Practice address
- 552 Calle Cesar Gonzalez
Ext. Roosevelt
San Juan, PR 00918-2604 - Phone
- (787) 753-1510
- Fax
- (787) 753-6585
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4879 | PR | Primary |
Addresses
Primary practice location
552 Calle Cesar Gonzalez
Ext. Roosevelt
San Juan, PR 00918-2604
Mailing address
El Senorial Mail Station Box 452
Winston Churchill Ave. 138 Crown Hills
San Juan, PR 00926-6023
Phone (787) 767-2038
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090815000107 | PR | Practitioner - General Surgery | 6901950658 | Practice locations: Bayamon, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Ave Laurel
Bayamon, PR 00956-4816
Phone 78778751518147
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4879 | PR | MD | Specialist |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hospital Metropolitano
- General Acute Care Hospital
- San Juan, PR
- NPI 1275580763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244678400000",
"number": "1427024389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EL SENORIAL MAIL STATION BOX 452",
"address_2": "WINSTON CHURCHILL AVE. 138 CROWN HILLS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266023",
"telephone_number": "787-767-2038",
"fax_number": "787-758-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 CALLE CESAR GONZALEZ",
"address_2": "EXT. ROOSEVELT",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009182604",
"telephone_number": "787-753-1510",
"fax_number": "787-753-6585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO-MENDOZA",
"first_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2009-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "4879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.