Jose Luis Mendez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22644 Issued in PR

Practice address

353 Ave General Valero
Fajardo, PR 00738-4843

Phone

(787) 863-4714

NPI assigned

Mar 28, 2022

Last updated

Mar 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PR Healthcare Management GroupGroup PAC ID 5294975793, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PR Healthcare Management Group

  • Emergency Care Clinic/Center
  • Guaynabo, PR
  • NPI 1780940924
  Medicare reassignment Care Compare group NPD
• Puerto Rico Primary Care Mso, Inc. - CDT Luquillo

  • Emergency Care Clinic/Center
  • Luquillo, PR
  • NPI 1134873235
  Medicare reassignment NPD
• Dr Jose M Mendezjiminian CSP

  • Corporate Health Clinic/Center
  • Fajardo, PR
  • NPI 1093052433
  NPD
• PR Healthcare Management Group

  • Clinical Medical Laboratory
  • Naguabo, PR
  • NPI 1790268993
  NPD
• Puerto Rico Primary Care, Mso, Inc. - Laboratorio

  • Clinical Medical Laboratory
  • Luquillo, PR
  • NPI 1952055055
  NPD

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1851041222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1463",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007731463",
            "telephone_number": "787-909-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 AVE GENERAL VALERO",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384843",
            "telephone_number": "787-863-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maritza Melendez Nieves, MD
• Antonio Melendez
• Danny Josue Mendez Gomez, DC
• Jose M Mendez Jiminian, MD
• Dennisse Mendez, PHARMD
• Keren Marla Menendez
• Angelique Mercado-Perez
• Yomaira Mercado
• Gamalier Mestre, MD
• Mi Medico Primario Inc

• General Practice Physician in Fajardo, PR
• Providers in Fajardo, 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 Mar 29, 2022; 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.