Individual provider Active NPI

Gerardo Jorge Vendrell, M.D.

  • Specialist
  • Ponce, PR
National Provider Identifier
1477501260
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14942 Issued in PR
Practice address
2525 Ave Eduardo Ruberte
Suite 111 Coliseo Shopping Center
Ponce, PR 00728-1739
Phone
(787) 812-5631
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14942 PR Primary

Addresses

Primary practice location

2525 Ave Eduardo Ruberte
Suite 111 Coliseo Shopping Center
Ponce, PR 00728-1739

Mailing address

#956 Fco. Coimbre St.
Villas de Rio Canas
Ponce, PR 00728-1929
Phone (787) 812-5631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031223000501 PR Practitioner - General Practice 7012815392 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2525 Ave Eduardo Ruberte
Suite 111
Ponce, PR 00728-1712
Phone (787) 812-5631

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Vendrell LLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

2525 Ave Eduardo Ruberte
Ste 111
Ponce, PR 00728
Phone (787) 344-8003

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1477501260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#956 FCO. COIMBRE ST.",
            "address_2": "VILLAS DE RIO CANAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281929",
            "telephone_number": "787-812-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 AVE EDUARDO RUBERTE",
            "address_2": "SUITE 111 COLISEO SHOPPING CENTER",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281739",
            "telephone_number": "787-812-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDRELL",
        "first_name": "GERARDO",
        "middle_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "14942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.