Active NPI
Gabriel Rene Mendez Melendez, PHARMD
- Pharmacist
- Caguas, PR
National Provider Identifier
1992211080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6516
- Practice address
- 30 Ave Rafael Cordero Hwy 7419 Kmart Pharmacy
Caguas, PR 00987 - Phone
- (787) 743-8777
- NPI assigned
- Dec 27, 2017
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6516 | PR | Primary |
Addresses
Primary practice location
30 Ave Rafael Cordero Hwy 7419 Kmart Pharmacy
Caguas, PR 00987
Mailing address
Repto Anaida B24 Calle Palma Real
Ponce, PR 00716
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)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6516 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514332800000",
"number": "1992211080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "REPTO ANAIDA B24 CALLE PALMA REAL",
"city": "PONCE",
"state": "PR",
"postal_code": "00716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 AVE RAFAEL CORDERO HWY 7419 KMART PHARMACY",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-743-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ MELENDEZ",
"first_name": "GABRIEL",
"middle_name": "RENE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-27",
"last_updated": "2017-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.