Active NPI
Rolando Emmanuel Perez Mendez, DC
- Chiropractor
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13321
- 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
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 |
|---|---|---|---|---|
| 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, LA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13321 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Integrated Health and Wellness Center LLC | Current | Accepting new patients | |
| Trinity Chiropractic Incorporated | Current | Accepting new patients | |
| Mediquick Urgent Care Centers Inc | Current | Accepting new patients | |
| Trinity Chiropractic Clinic, Inc. | Chiropractor | Current | 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.
-
- Chiropractor
- Many, LA
- NPI 1639385271
-
- General Practice Physician
- Natchitoches, LA
- NPI 1164043642
-
- Neurology Physician
- Green Cove Springs, FL
- NPI 1447609011
-
- Urgent Care Clinic/Center
- Palm Coast, FL
- NPI 1053363036
-
- Clinic/Center
- Winnfield, LA
- NPI 1750563136
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.