Juan E Mendez Servera, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17672 Issued in PR

Practice address

St.7 Urb.la Monserrate H-6
Hormigueros, PR 00660

Phone

(787) 930-5057

Fax

(787) 892-4822

NPI assigned

Jul 31, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1811128341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB.LA MONSERRATE ST.7 H-6",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-930-5057",
            "fax_number": "787-892-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST.7 URB.LA MONSERRATE H-6",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-930-5057",
            "fax_number": "787-892-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ SERVERA",
        "first_name": "JUAN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dubiezel Medina Bonilla, MD
• Eleynie Milaine Medina Lopez
• Nishka Marie Medina Montalvo, DC
• Mediwest Specialty Distribution LLC
• Jose Gerardo Melendez-Negron, OD
• Rafael Mendoza-Irizarry, M.D.
• Angelivette Mercado Munoz, MA
• Metro Pavia at Home, LLC (Metro Pavia @ Home- Mayaguez)
• Migrant Health Center Mobile Unit
• Ilianette Miranda, R.PH.

• General Practice Physician in Hormigueros, PR
• Providers in Hormigueros, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.