Individual provider Active NPI

Adney D Nieves Mendez, M.D.

  • General Practice Physician
  • Sabana Hoyos, PR
National Provider Identifier
1992895049
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14234 Issued in PR
Practice address
Carr. 639 KM4.8
Bo. Sabana Hoyos
Sabana Hoyos, PR 00688
Phone
(787) 650-8646
Fax
(787) 650-8646
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PR14234 PR
General Practice Physician 208D00000X 14234 PR Primary

Addresses

Primary practice location

Carr. 639 KM4.8
Bo. Sabana Hoyos
Sabana Hoyos, PR 00688

Mailing address

960 Urb. Brisas del Monte Calle Ruisenor
Barceloneta, PUERTO RICO 00617
UM
Phone (787) 650-8646

Other names 1

  • Dr. Adney D Nieves Mendez Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070111000305 PR Practitioner - General Practice 2264432400 Practice locations: Sabana Hoyos, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PR14234PRMDClinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
JRP Group LLC General Practice PastSince May 23, 2024 Accepting new patients

Organizations & group practices 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1992895049",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "960 URB. BRISAS DEL MONTE CALLE RUISENOR",
            "city": "BARCELONETA",
            "state": "PUERTO RICO",
            "postal_code": "00617",
            "telephone_number": "787-650-8646",
            "fax_number": "787-650-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 639 KM4.8",
            "address_2": "BO. SABANA HOYOS",
            "city": "SABANA HOYOS",
            "state": "PR",
            "postal_code": "00688",
            "telephone_number": "787-650-8646",
            "fax_number": "787-650-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES MENDEZ",
        "first_name": "ADNEY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "PR14234",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADNEY",
            "last_name": "NIEVES MENDEZ",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sabana Hoyos, PR

Sources for this page

Verify at the official NPI Registry.