Individual provider Active NPI

Gabriel Rene Mendez Melendez, PHARMD

  • Pharmacist
  • Caguas, PR
National Provider Identifier
1992211080
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6516 Issued in PR
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

Updated by the provider on Dec 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6516PRMDPharmacist

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.

Verify at the official NPI Registry.