Jorge Luis Mendoza Martinez, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

733842 Issued in TX

Practice address

7749 Wenda Dr
El Paso, TX 79915-2917

Phone

(254) 317-6737

NPI assigned

Dec 17, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jorge.l.mendoza2.ctr@mail.mil

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1467090795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7749 WENDA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799152917",
            "telephone_number": "254-317-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7749 WENDA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799152917",
            "telephone_number": "254-317-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA MARTINEZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "733842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jorge.l.mendoza2.ctr@mail.mil",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "William Beaumont Army Medical Center",
            "address_1": "5005 n piedras st",
            "city": "el paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799205001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mendivil Clinic for Foot & Ankle
• Jason Max Mendivil, DPM
• Rosa Mendivil, PTA
• Mendoza Family Dentistry PLLC
• Hector Manuel Mendoza Garcia
• Suzanne Mendoza-Luna, M.S. CCC-SLP
• Karina Yvette Mendoza-Marcial, NP
• Adamaris Mendoza
• Adriana Mendoza
• Adriana Y Mendoza, APRN, PMHNP-BC

• Registered Nurse in El Paso, TX
• Providers in El Paso, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.