Active NPI
Iliannette Rivera Mendez, MD
- General Practice Physician
- Utuado, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23704
- Practice address
- 2 Ave San Miguel
Utuado, PR 00641-2918 - Phone
- (787) 894-2288
- NPI assigned
- Mar 8, 2024
- Last updated
- Mar 10, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23704 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud Familiar San Miguel Arcangel Inc | General Practice | Current | 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.
-
- General Practice Physician
- Utuado, PR
- NPI 1962970798
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.