Individual provider Active NPI

Isamir Santiago Mendez, MD

  • Family Medicine Physician
  • Manati, PR
National Provider Identifier
1639101264
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15556 Issued in PR
Practice address
Carr. # 2 Intl 668
Urb. Atenas Calle Hernandez Carrion
Manati, PR 00674
Phone
(787) 621-3700
Fax
(787) 621-3798
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15556 PR Primary

Addresses

Primary practice location

Carr. # 2 Intl 668
Urb. Atenas Calle Hernandez Carrion
Manati, PR 00674

Mailing address

Vista Azul Calle 11 K-18
Arecibo, PR 00612-2522
Phone (787) 531-6255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080227000575 PR Practitioner - Family Practice 2567546609 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atenas Community Health Center Achc Inc Past Accepting new patients
Atenas Community Health Center Achc Inc Past Accepting new patients
Municipio de Manati Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1639101264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VISTA AZUL CALLE 11 K-18",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006122522",
            "telephone_number": "787-531-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. # 2 INTL 668",
            "address_2": "URB. ATENAS CALLE HERNANDEZ CARRION",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-3700",
            "fax_number": "787-621-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO MENDEZ",
        "first_name": "ISAMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "15556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.