Individual provider Active NPI

Ricardo Rosario-Mendoza, M.D.

  • Specialist
  • San Juan, PR
National Provider Identifier
1427024389
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4879 Issued in PR
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

Updated by the provider on Jun 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090815000107 PR Practitioner - General SurgeryPractitioner - Vascular Surgery 6901950658 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular 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

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4879PRMDSpecialist

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.