Individual provider Active NPI

Iliannette Rivera Mendez, MD

  • General Practice Physician
  • Utuado, PR
National Provider Identifier
1518725191
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23704 Issued in PR
Practice address
2 Ave San Miguel
Utuado, PR 00641-2918
Phone
(787) 894-2288
NPI assigned
Mar 8, 2024
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23704 PR Primary

Addresses

Primary practice location

2 Ave San Miguel
Utuado, PR 00641-2918

Mailing address

PO Box 230
Arecibo, PR 00613-0230
Phone (787) 894-2288

Other practice location 1

2 Ave San Miguel
Utuado, PR 00641-2918
Phone (787) 894-2288

Other practice location 2

PR-2 Km 57.8
Barceloneta, PR 00617
Phone (787) 846-4412

Other practice location 3

PR-2 Km 57.8
Barceloneta, PR 00617
Phone (787) 846-4412

Other practice location 4

Carr. #2 km 31.9, BO Bajura
CDT Vega Alta
Vega Alta, PR 00692
Phone (939) 406-7276

Other practice location 5

Carr 698, BO. El Mameyal
Dorado Community Health
Dorado, PR 00646
Phone (939) 406-7276

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
I20250313002713 PR Practitioner - General Practice 9032631569 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23704PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud Familiar San Miguel Arcangel Inc General Practice CurrentSince Dec 30, 2024 Accepting new patients

Locations

2 Ave San Miguel
Utuado, PR 00641
Phone (787) 894-2288

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1518725191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130230",
            "telephone_number": "787-894-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AVE SAN MIGUEL",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006412918",
            "telephone_number": "787-894-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Ave San Miguel",
            "address_purpose": "LOCATION",
            "city": "Utuado",
            "state": "PR",
            "postal_code": "006412918",
            "country_code": "US",
            "telephone_number": "787-894-2288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PR-2 Km 57.8",
            "address_purpose": "LOCATION",
            "city": "Barceloneta",
            "state": "PR",
            "postal_code": "00617",
            "country_code": "US",
            "telephone_number": "787-846-4412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PR-2 Km 57.8",
            "address_purpose": "LOCATION",
            "city": "Barceloneta",
            "state": "PR",
            "postal_code": "00617",
            "country_code": "US",
            "telephone_number": "787-846-4412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Carr. #2 km 31.9, BO Bajura",
            "address_2": "CDT Vega Alta",
            "address_purpose": "LOCATION",
            "city": "Vega Alta",
            "state": "PR",
            "postal_code": "00692",
            "country_code": "US",
            "telephone_number": "939-406-7276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Carr 698, BO. El Mameyal",
            "address_2": "Dorado Community Health",
            "address_purpose": "LOCATION",
            "city": "Dorado",
            "state": "PR",
            "postal_code": "00646",
            "country_code": "US",
            "telephone_number": "939-406-7276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA MENDEZ",
        "first_name": "ILIANNETTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, PR

Sources for this page

Verify at the official NPI Registry.