Active NPI
Jose David Mendez, MD
- Vascular & Interventional Radiology Physician
- San Juan, PR
National Provider Identifier
1538794615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 16428
- Practice address
- Recinto de Ciencias Medicas
Paseo Dr. Jose Celso Barbosa
San Juan, PR 00921 - Phone
- (787) 758-2525
- NPI assigned
- Mar 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PR | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | 16428 | PR | Primary |
Addresses
Primary practice location
Recinto de Ciencias Medicas
Paseo Dr. Jose Celso Barbosa
San Juan, PR 00921
Mailing address
443 Calle Rey Luis
La Villa de Torrimar
Guaynabo, PR 00969
Phone (787) 504-1454
Other practice location 1
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16428 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1538794615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 CALLE REY LUIS",
"address_2": "LA VILLA DE TORRIMAR",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-504-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RECINTO DE CIENCIAS MEDICAS",
"address_2": "PASEO DR. JOSE CELSO BARBOSA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-758-2525"
}
],
"practiceLocations": [
{
"address_1": "505 Parnassus Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432204",
"country_code": "US",
"telephone_number": "415-476-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDEZ",
"first_name": "JOSE",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-09",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "PR",
"license": "16428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.