Active NPI
Fabian Mendez Rodriguez, MD
- General Practice Physician
- Anasco, PR
National Provider Identifier
1851308514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5145
- Practice address
- Calle Padre Bennassar 79
Anasco, PR 00610 - Phone
- (787) 826-2036
- Fax
- (787) 826-2036
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5145 | PR | Primary |
Addresses
Primary practice location
Calle Padre Bennassar 79
Anasco, PR 00610
Mailing address
Box 90
Calle Padre Bennassar 79
Anasco, PR 00610
Phone (787) 826-2036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0026413 | Other | TRIPLESS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1851308514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 90",
"address_2": "CALLE PADRE BENNASSAR 79",
"city": "ANASCO",
"state": "PR",
"postal_code": "00610",
"telephone_number": "787-826-2036",
"fax_number": "787-826-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE PADRE BENNASSAR 79",
"city": "ANASCO",
"state": "PR",
"postal_code": "00610",
"telephone_number": "787-826-2036",
"fax_number": "787-826-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ RODRIGUEZ",
"first_name": "FABIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "5145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLESS",
"identifier": "0026413",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Anasco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.