Individual provider Active NPI

Rolando Emmanuel Perez Mendez, DC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1972109304
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13321 Issued in FL
Practice address
1008 Park Avenue Orange Park
Suite
Jacksonville, FL 32073
Phone
(904) 375-9429
NPI assigned
Dec 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13321 FL Primary

Addresses

Primary practice location

1008 Park Avenue Orange Park
Suite
Jacksonville, FL 32073

Mailing address

5609 Victoria Gardens Blvd Apt 1204
Port Orange, FL 32127-8973
Phone (787) 383-8685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220518000681 FL Practitioner - Chiropractic 1153708896 Reassigns benefits to 1 organization
I20250213001825 LA Practitioner - Chiropractic 1153708896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Chiropractic Clinic, Inc.Group PAC ID 9537131032, 2 clinicians
Trinity Integrated Health and Wellness Center LLCGroup PAC ID 1557775814, 3 clinicians

Practice addresses (Care Compare)

234 Elizabeth St
Many, LA 71449-7541

243 Elizabeth St
Many, LA 71449-7541
Phone (318) 273-3222

366 S Dr
Natchitoches, LA 71457-5053
Phone (318) 352-0099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13321FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Integrated Health and Wellness Center LLC CurrentSince Feb 10, 2025 Accepting new patients
Trinity Chiropractic Incorporated Current Accepting new patients
Mediquick Urgent Care Centers Inc CurrentSince May 9, 2022 Accepting new patients
Trinity Chiropractic Clinic, Inc. Chiropractor CurrentSince Jun 2, 2025 Accepting new patients
Rta Health Care Chiropractor Past Accepting new patients

Locations

91 Branscomb Rd
Ste 1
Green Cove Springs, FL 32043
Phone (904) 783-0008

243 Elizabeth St
Many, LA 71449
Phone (318) 273-3222

366 South Dr
Natchitoches, LA 71457
Phone (318) 352-0099

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1972109304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 VICTORIA GARDENS BLVD APT 1204",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278973",
            "telephone_number": "787-383-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 PARK AVENUE ORANGE PARK",
            "address_2": "SUITE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-375-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MENDEZ",
        "first_name": "ROLANDO",
        "middle_name": "EMMANUEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.