Individual provider Active NPI

Jan Luis Solares Mendoza, ND

  • Naturopath
  • Carolina, PR
National Provider Identifier
1780424614
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
103 Issued in PR
Practice address
Villa Carolina Avenida Roberto Clemente
27-1
Carolina, PR 00985
Phone
(787) 235-8227
NPI assigned
May 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 103 PR Primary

Addresses

Primary practice location

Villa Carolina Avenida Roberto Clemente
27-1
Carolina, PR 00985

Mailing address

10 Condominio Veredas del Rio
Apt 306a
Carolina, PR 00987-8761
Phone (787) 235-8227

Other practice location 1

10 Condominio Veredas del Rio
Apt 306A
Carolina, PR 00987-8761
Phone (787) 235-8227

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

State licenses

LicenseStateTypeSpecialty
103PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perteneser CurrentSince Jun 2, 2024 Accepting new patients

Organizations & group practices 1

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": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1780424614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONDOMINIO VEREDAS DEL RIO",
            "address_2": "APT 306A",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878761",
            "telephone_number": "787-235-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA CAROLINA AVENIDA ROBERTO CLEMENTE",
            "address_2": "27-1",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-235-8227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Condominio Veredas del Rio",
            "address_2": "Apt 306A",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "009878761",
            "country_code": "US",
            "telephone_number": "787-235-8227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLARES MENDOZA",
        "first_name": "JAN",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "PR",
            "license": "103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.