Javier Medina Mendez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10052 Issued in PR

Practice address

Villa Carolina
6-22 Calle 30
Carolina, PR 00985

Phone

(787) 309-4155

NPI assigned

Dec 7, 2019

Last updated

Dec 7, 2019By the provider in NPPES

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: javier.medina@hpmpr.eclinicaldirectplus.com

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.

• HPM Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • San Juan, PR
  • NPI 1316167661
  Medicare reassignment
• HPM Foundation Inc

  • Clinical Medical Laboratory
  • San Juan, PR
  • NPI 1417359142
  NPD

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

{
    "created_epoch": "1575676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575676800000",
    "number": "1902443070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA CAROLINA",
            "address_2": "6-22 CALLE 30",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA CAROLINA",
            "address_2": "6-22 CALLE 30",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-309-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA MENDEZ",
        "first_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-07",
        "last_updated": "2019-12-07",
        "certification_date": "2019-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Management & Data Services, Inc.
• Medicina Primaria Avanzada PSC
• Medicine Internal Dra Sara Acevedo CSP
• Claudia Alejandra Medina Luna, PSICOLOGA
• Roberto Carlos Jesus Medina Matos, PHARMD
• Milane Somary Medina Ortiz, LND, MHSN, DE-PR
• Norberto Medina Pellicer, DMD
• Josiel Medina Zayas, M.D.
• Carlos Xavier Medina-Perez
• Ivelisse Medina

• Clinical Social Worker in Carolina, PR
• Providers in Carolina, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.