Jose R Sanchez-Mendiola Sr., MD

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

12188 Issued in PR

Practice address

Bayamon Medical Plaza
Suite 105
Bayamon, PR 00960

Phone

(787) 785-8981

Fax

(787) 780-4866

NPI assigned

Mar 3, 2006

Last updated

Apr 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Otolaryngology

Education

University of Puerto Rico School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grupo Otorrinolaringologico de PR CSPGroup PAC ID 0547342701, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grupo Otorrinolaringologico de PR CSP

  • Otolaryngology/Facial Plastic Surgery Physician
  • Bayamon, PR
  • NPI 1396772539
  Medicare reassignment Care Compare group NPD
• Grupo Otorrinolaringologico de PR

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Carolina, PR
  • NPI 1740326677
  Authorized official Same address or phone
• Medfacial Surgery LLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Bayamon, PR
  • NPI 1629955604
  NPD
• Condado Otolaryngology PSC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • San Juan, PR
  • NPI 1629031331
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1952378341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 365 #100 GRAND BOULEVARD PASEOS",
            "address_2": "SUITE 112",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-785-8981",
            "fax_number": "787-780-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA",
            "address_2": "SUITE 105",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-785-8981",
            "fax_number": "787-780-4866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Plaza Carolina Mall",
            "address_2": "Tercer Nivel Suite 11",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00983",
            "country_code": "US",
            "telephone_number": "787-776-1511",
            "fax_number": "787-776-1531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Plaza Las Americas",
            "address_2": "Torre de Plaza Suite 907",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00918",
            "country_code": "US",
            "telephone_number": "787-281-1200",
            "fax_number": "787-281-1204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ-MENDIOLA",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "PR",
            "license": "12188",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "PR",
            "license": "12188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidianys Marie Sanchez Ruiz
• Genesis Amanda Sanchez Sanchez
• Rene Sanchez-Borrero, M.D.
• Manuel Antonio Sanchez-Colon
• Annette Sanchez-Cruz, DM
• Liza Carolina Sanchez-Plazas, MD
• Alondra Nicole Sanchez
• Ana Sanchez, RD
• Ernesto Sanchez
• Florita Sanchez

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.