Active NPI
Gerardo Jorge Vendrell, M.D.
- Specialist
- Ponce, PR
National Provider Identifier
1477501260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 14942
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Vendrell LLC | Current | 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.
-
- Health Service Clinic/Center
- Ponce, PR
- NPI 1023858990
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.