Individual provider Active NPI

Andres Elias Borrero Mendoza, M.D.

  • Emergency Medicine Physician
  • Ponce, PR
National Provider Identifier
1528440229
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
320575 Issued in LA
Practice address
Ponce Byp # 2213
Ponce, PR 00716-0300
Phone
(787) 840-8686
NPI assigned
Jun 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 140971 FL
Emergency Medicine Physician 207P00000X 38253 AL
Emergency Medicine Physician 207P00000X 83642 GA
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 320575 LA Primary

Addresses

Primary practice location

Ponce Byp # 2213
Ponce, PR 00716-0300

Mailing address

901 Portales del Monte
Coto Laurel, PR 00780-2009
Phone (787) 235-8977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL, LA, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190905002418 FL Practitioner - Emergency Medicine 6709115421 Reassigns benefits to 6 organizations
I20191002003672 AL Practitioner - Emergency Medicine 6709115421 Reassigns benefits to 2 organizations
I20191010001713 LA Practitioner - Emergency Medicine 6709115421 Reassigns benefits to 1 organization
I20200518001541 GA Practitioner - Emergency Medicine 6709115421 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians
Emergency Services of Montgomery PCGroup PAC ID 6608028204, 61 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

801 E Hillsborough Ave
HCA FL Central Tampa Fser
Tampa, FL 33604-7107
Phone (813) 873-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38253ALMDEmergency Medicine Physician
140971FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Lake Oliver Emergency Group, LLC Single Specialty CurrentSince Oct 22, 2024 Accepting new patients
Paragon Contracting Services LLC Single Specialty CurrentSince Sep 6, 2019 Accepting new patients
Acs Primary Care Physicians Louisiana PC Single Specialty CurrentSince Sep 1, 2019 Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Oct 22, 2024 Accepting new patients
Emergency Medicine Services of FL, LLC Single Specialty CurrentSince Oct 2, 2025 Accepting new patients
Acs Primary Care Physicians - Southeast PC Single Specialty CurrentSince Sep 1, 2019 Accepting new patients
Emergency Services of Montgomery PC Single Specialty CurrentSince Aug 5, 2019 Accepting new patients
Inphynet Contracting Services LLC Single Specialty CurrentSince May 1, 2023 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Paragon Emergency Services LLC Single Specialty CurrentSince Aug 5, 2019 Accepting new patients

Locations (25 of 29)

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

3157 N Monroe St
Tallahassee, FL 32303
Phone (850) 325-5888

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

801 E Hillsborough Ave
Tampa, FL 33604
Phone (813) 512-4810

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

462541 State Road 200
Yulee, FL 32097
Phone (904) 391-6300

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1528440229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PORTALES DEL MONTE",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802009",
            "telephone_number": "787-235-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PONCE BYP # 2213",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160300",
            "telephone_number": "787-840-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRERO MENDOZA",
        "first_name": "ANDRES",
        "middle_name": "ELIAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "140971",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "38253",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "83642",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "320575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.