Active NPI
Adney D Nieves Mendez, M.D.
- General Practice Physician
- Sabana Hoyos, PR
National Provider Identifier
1992895049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14234
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR14234 | PR | MD | Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JRP Group LLC | General Practice | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.