Active NPI
Olga Iris Mendez, M.D
- Clinic/Center
- San Juan, PR
National Provider Identifier
1629197256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 9937
- Practice address
- Actu Project Biomedical Building # 2 P R Medical
San Juan, PR 00935-0001 - Phone
- (787) 767-9192
- Fax
- (787) 758-0955
- NPI assigned
- Mar 28, 2007
- 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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 9937 | PR | Primary |
Addresses
Primary practice location
Actu Project Biomedical Building # 2 P R Medical
San Juan, PR 00935-0001
Mailing address
1672 Calle Violeta
Rio Piedras, PR 00927-6243
Phone (787) 612-7076
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 |
|---|---|---|---|
| 9937 | PR | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629197256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1672 CALLE VIOLETA",
"city": "RIO PIEDRAS",
"state": "PR",
"postal_code": "009276243",
"telephone_number": "787-612-7076",
"fax_number": "787-754-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ACTU PROJECT BIOMEDICAL BUILDING # 2 P R MEDICAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009350001",
"telephone_number": "787-767-9192",
"fax_number": "787-758-0955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "OLGA",
"middle_name": "IRIS",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "PR",
"license": "9937",
"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 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.