Active NPI
Ida M Casta-Mendez, MD
- Surgery Physician
- Aguadilla, PR
National Provider Identifier
1922044650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3068
- Practice address
- Ave Albizu Campos #156 Reparto Lopez
Aguadilla, PR 00605 - Phone
- (787) 819-1305
- Fax
- (787) 819-1305
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 3068 | PR | Primary |
Addresses
Primary practice location
Ave Albizu Campos #156 Reparto Lopez
Aguadilla, PR 00605
Mailing address
PO Box 4164
Aguadilla, PR 00605
Phone (787) 819-1305
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8000286 | Other | HUMANA | |
| 1416 | Other | PREFERRED MEDICARE CHOICE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3068 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922044650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4164",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00605",
"telephone_number": "787-819-1305",
"fax_number": "787-819-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE ALBIZU CAMPOS #156 REPARTO LOPEZ",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00605",
"telephone_number": "787-819-1305",
"fax_number": "787-819-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTA-MENDEZ",
"first_name": "IDA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PR",
"license": "3068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "8000286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICARE CHOICE",
"identifier": "1416",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.