Organization Active NPI

Centro de Reumatologia Dr Mendez Bryan Inc

  • Rheumatology Physician
  • San Juan, PR
National Provider Identifier
1437458262
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
11014 Issued in PR
Legal business name
CENTRO DE REUMATOLOGIA DR MENDEZ BRYAN INC
Practice address
575 Calle Cabo H Alverio
San Juan, PR 00918-3725
Phone
(787) 763-1876
Fax
(787) 250-1918
NPI assigned
Mar 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Dr. Luis F Garcia Jaunarena, MDNPI 1194820696
Title
President
Phone
(787) 763-1876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 11014 PR Primary

Addresses

Primary practice location

575 Calle Cabo H Alverio
San Juan, PR 00918-3725

Mailing address

575 Calle Cabo H Alverio
San Juan, PR 00918-3725
Phone (787) 763-1876

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110407000013 PR Part B Supplier - Clinic/Group Practice 5991989469 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

575 Calle Cabo H Alverio
San Juan, PR 00918
Phone (787) 763-1876

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1437458262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 CALLE CABO H ALVERIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183725",
            "telephone_number": "787-763-1876",
            "fax_number": "787-250-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 CALLE CABO H ALVERIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183725",
            "telephone_number": "787-763-1876",
            "fax_number": "787-250-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE REUMATOLOGIA DR MENDEZ BRYAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "GARCIA JAUNARENA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-763-1876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "11014",
            "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 Mar 31, 2011; 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.