Active NPI
Carlos R Mendez-Bryan, M.D.
- Diagnostic Ultrasound Physician
- Hato Rey, PR
National Provider Identifier
1447237128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 003530
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 003530 | PR | MD | Diagnostic 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.