Active NPI
Raul Rivera Mendez, MD
- Psychiatry Physician
- Hato Rey, PR
National Provider Identifier
1578781365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 6409
- Practice address
- 329A Columbia St
University Gardens
Hato Rey, PR 00927 - Phone
- (787) 376-7577
- NPI assigned
- Apr 24, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 6409 | PR | Primary |
Addresses
Primary practice location
329A Columbia St
University Gardens
Hato Rey, PR 00927
Mailing address
505 Coral Beach II
Isla Verde
Carolina, PR 00979
Phone (787) 376-7577
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 |
|---|---|---|---|
| 6409 | PR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578781365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 CORAL BEACH II",
"address_2": "ISLA VERDE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00979",
"telephone_number": "787-376-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329A COLUMBIA ST",
"address_2": "UNIVERSITY GARDENS",
"city": "HATO REY",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-376-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA MENDEZ",
"first_name": "RAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "6409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hato Rey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.