Individual provider Active NPI

William Mendez-Latalladi, M.D.

  • Surgery Physician
  • San Juan, PR
National Provider Identifier
1902815517
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12590 Issued in PR
Practice address
Americo Miranda Ave.
Reparto Shopping Center 3Rd Floor
San Juan, PR 00919
Phone
(787) 758-2525
Fax
(787) 758-1119
NPI assigned
Aug 5, 2006
Last updated
Mar 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12590 PR Primary

Addresses

Primary practice location

Americo Miranda Ave.
Reparto Shopping Center 3Rd Floor
San Juan, PR 00919

Mailing address

PO Box 79429
Isla Verde Station
Carolina, PR 00984-9429
Phone (787) 331-6269

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100503000321 PR Practitioner - General SurgeryPractitioner - Endocrinology 0749318384 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Endocrinology
Education
University of Puerto Rico School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Bo Monacillos Centro Medico de Puert
San Juan, PR 00935-0001
Phone (787) 763-2440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12560PRMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Jul 1, 1997 Accepting new patients
Recinto de Ciencias Medicas Surgery CurrentSince Jul 1, 1997 Accepting new patients
Centro de Cancer de la Universidad Past Accepting new patients
Administracion de Servicios Medicos de Puerto Rico Past Accepting new patients

Locations

BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440

Centro Medico
San Juan, PR 00935
Phone (787) 232-0882

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1902815517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79429",
            "address_2": "ISLA VERDE STATION",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009849429",
            "telephone_number": "787-331-6269",
            "fax_number": "787-758-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AMERICO MIRANDA AVE.",
            "address_2": "REPARTO SHOPPING CENTER 3RD FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-758-2525",
            "fax_number": "787-758-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ-LATALLADI",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "12590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.