Roberto Mendez, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

12515 Issued in PR

Practice address

2431 Ave Las Americas
Suite 206
Ponce, PR 00717-2113

Phone

(787) 842-9345

Fax

(787) 841-5872

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

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 2

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 and National Provider Directory roles.

• Florida Post Acute Care Clinicians, LLC

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1811398811
  Medicare reassignment NPD
• Florida Post Acute Care Clinicians, LLC

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1699225029
  NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942249503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 AVE LAS AMERICAS",
            "address_2": "SUITE 206",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172113",
            "telephone_number": "787-842-9345",
            "fax_number": "787-841-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 AVE LAS AMERICAS",
            "address_2": "SUITE 206",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172113",
            "telephone_number": "787-842-9345",
            "fax_number": "787-841-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "ROBERTO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME125458",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PR",
            "license": "12515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PR",
            "identifier": "7310257",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "2400502",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "89076",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "1049",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandra Mendez Peralta, MD
• Keren Mendez Ramirez, M.D.
• Alejandro Mendez, DMD
• Jose Manuel Pedro Mendez
• Rebeca I Mendez, M.D.
• Rosemary Mendez, MPH
• Marianyelis Mendoza-Orama
• Adalberto Mendoza, MD
• Rafael Orlando Mendoza, M.D.
• Sasha Mendoza

• Plastic and Reconstructive Surgery Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Plastic and Reconstructive Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.