Individual provider Active NPI

Sara P Barcelo Mendoza, MS-A IN AUDIOLOGY

  • Audiologist
  • Cayey, PR
National Provider Identifier
1427264662
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
535 Issued in PR
Practice address
20 Ave Antonio R Barcelo
Suite 212
Cayey, PR 00736-4105
Phone
(787) 565-6945
Fax
(787) 738-8890
NPI assigned
May 15, 2007
Last updated
Feb 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 535 PR Primary

Addresses

Primary practice location

20 Ave Antonio R Barcelo
Suite 212
Cayey, PR 00736-4105

Mailing address

PO Box 270454
San Juan, PR 00928-2454
Phone (787) 565-6945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219000641 PR Practitioner - Qualified Audiologist 5890100119 Practice locations: Rio Piedras, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
535PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Institute of Audiology Pro-Hearing and Audiology Consultants Past Accepting new patients

Organizations & group practices 1

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1427264662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270454",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009282454",
            "telephone_number": "787-565-6945",
            "fax_number": "787-738-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 AVE ANTONIO R BARCELO",
            "address_2": "SUITE 212",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364105",
            "telephone_number": "787-565-6945",
            "fax_number": "787-738-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCELO MENDOZA",
        "first_name": "SARA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "MS-A IN AUDIOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.