Consuelo Amalia Mena-Gonzalez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8020 Issued in PR

Practice address

712 Calle Central Apt 601
San Juan, PR 00907-4151

Phone

(310) 600-7783

Fax

(939) 336-2476

NPI assigned

Jun 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Connie Amalia Mena Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1465084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465084800000",
    "number": "1629427273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 CALLE CENTRAL APT 601",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074151",
            "telephone_number": "310-600-7783",
            "fax_number": "939-336-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CALLE CENTRAL APT 601",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074151",
            "telephone_number": "310-600-7783",
            "fax_number": "939-336-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA-GONZALEZ",
        "first_name": "CONSUELO",
        "middle_name": "AMALIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-05",
        "last_updated": "2016-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "8020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "MENA",
            "middle_name": "AMALIA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alondra Y. Melero
• Abigail Meletiche-Ferrer
• Melpo CSP
• Belkis E Mena Perez, DMD
• Angelica Maria Mena-Albors, PHD.
• Carmen Mena
• Rafaela Mena, RPH
• Juan A Menchaca-Martinez, M.D.
• Christine M Mendez Castaner, MS OTR/L
• Proviadela Mendez Coca, MS

• Family Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.