Individual provider Active NPI

Keimari Mendez, M.D.

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1780884908
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17898 Issued in PR
Practice address
1848 Ave Glasgow Urb College Park
San Juan, PR 00921
Phone
(787) 412-9092
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17898 PR Primary

Addresses

Primary practice location

1848 Ave Glasgow Urb College Park
San Juan, PR 00921

Mailing address

OB & GYN RCM
PO Box 29134
San Juan, PR 00929-0134
Phone (787) 765-9652

Other practice location 1

Clinica de la Escuela de Medicina
Reparto Metropolitano Shopping, Ave. Americo Miranda
Rio PIedras, PR 00921-2213
Phone (787) 758-7910

Other names 1

  • Dr. Keimari Mendez Professional name

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
I20101005000795 PR Practitioner - Obstetrics/Gynecology 8123210424 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Ave Americo Miranda
Suite 200 Ctr Comercial Reparto Metropolita
Rio Pedras, PR 00921
Phone (787) 758-7910

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17898PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Jun 28, 2017 Accepting new patients
Recinto de Ciencias Medicas Obstetrics & Gynecology CurrentSince Jun 28, 2017 Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients
Departamento de Salud Oficial Past Accepting new patients

Locations

Hospital Universitario De Adultos
San Juan, PR 00935
Phone 78775401013660

Organizations & group practices 4

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1780884908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OB & GYN RCM",
            "address_2": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-765-9652",
            "fax_number": "787-764-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 AVE GLASGOW URB COLLEGE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-412-9092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CLINICA DE LA ESCUELA DE MEDICINA",
            "address_2": "Reparto Metropolitano Shopping, Ave. Americo Miranda",
            "address_purpose": "LOCATION",
            "city": "Rio PIedras",
            "state": "PR",
            "postal_code": "009212213",
            "country_code": "US",
            "telephone_number": "787-758-7910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "KEIMARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "17898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEIMARI",
            "last_name": "MENDEZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.