Individual provider Active NPI

Carlos R Mendez-Bryan, M.D.

  • Diagnostic Ultrasound Physician
  • Hato Rey, PR
National Provider Identifier
1447237128
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
003530 Issued in PR
Practice address
400 Roosevelt Ave. Suite 101
Clinica Las Americas
Hato Rey, PR 00918-2129
Phone
(787) 765-7713
Fax
(787) 250-7967
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 003530 PR
Diagnostic Ultrasound Physician 2085U0001X 003530 PR Primary

Addresses

Primary practice location

400 Roosevelt Ave. Suite 101
Clinica Las Americas
Hato Rey, PR 00918-2129

Mailing address

400 Roosevelt Ave. Suite 101
Clinica Las Americas
Hato Rey, PR 00918-2129
Phone (787) 765-7713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003530PRMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1447237128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROOSEVELT AVE. SUITE 101",
            "address_2": "CLINICA LAS AMERICAS",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009182129",
            "telephone_number": "787-765-7713",
            "fax_number": "787-250-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROOSEVELT AVE. SUITE 101",
            "address_2": "CLINICA LAS AMERICAS",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009182129",
            "telephone_number": "787-765-7713",
            "fax_number": "787-250-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ-BRYAN",
        "first_name": "CARLOS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "003530",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "003530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.