Individual provider Active NPI

Angelie Mendez Fernandez, P.T.A., B.H.E

  • Health Educator
  • Cidra, PR
National Provider Identifier
1841673803
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
5068-1 Issued in PR
Practice address
I21 Calle 10
Urbanizacion Villa del Carmen
Cidra, PR 00739-3034
Phone
(787) 608-9959
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 5068-1 PR Primary

Addresses

Primary practice location

I21 Calle 10
Urbanizacion Villa del Carmen
Cidra, PR 00739-3034

Mailing address

I21 Calle 10
Urbanizacion Villa del Carmen
Cidra, PR 00739-3034
Phone (787) 608-9959

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
5068-1PRMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1841673803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "I21 CALLE 10",
            "address_2": "URBANIZACION VILLA DEL CARMEN",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393034",
            "telephone_number": "787-608-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "I21 CALLE 10",
            "address_2": "URBANIZACION VILLA DEL CARMEN",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393034",
            "telephone_number": "787-608-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ FERNANDEZ",
        "first_name": "ANGELIE",
        "name_prefix": "Ms.",
        "credential": "P.T.A., B.H.E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "PR",
            "license": "5068-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.