MR. JOSE M MENDOZA SR. (NPI# 1780721258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780721258 |
| Entity Type | Individual |
| Full Name | MR. JOSE M MENDOZA SR. |
| Credential | OPT |
| Practice Address |
K4 Calle 17 Jardines De Country Club Carolina PR 00983-1628 |
| Mailing Address |
K4 Calle 17 Carolina PR 00983-1628 |
| Practice Telephone | 7876085682 |
| Practice Fax Number | 7877689271 |
| Mailing Telephone | 7876085284 |
| Mailing Fax Number | 7877689271 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
91 | PR | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932684529 | Jose Mendoza | Behavioral Analyst | 3703 W Kennewick Ave, Kennewick, WA 99336-2867 | 2018-09-28 |
| 1366970048 | Jose Antonio Mendoza | Dentist | 12 S 8t Hst, Yakima, WA 98901 | 2017-05-25 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| 1053561688 | Jose R Mendoza | Physician Assistant | 313 1/2 E Buckthorn St, Inglewood, CA 90301-3417 | 2008-09-18 |
| 1598897886 | Jose Luis Mendoza | Optometrist | 8721 Jensen Dr Unit B, Houston, TX 77093-7637 | 2007-03-12 |
| 1861522013 | Jose Carlos Mendoza | Pediatrics | 76 Calle Estacion, Aguada, PR 00602-3238 | 2007-03-06 |
| 1215072889 | Jose Ramon Mendoza | Social Worker | 3497 W Vine St, Kissimmee, FL 34741-4668 | 2007-02-21 |
| 1962471078 | Jose Manuel Mendoza | Nurse Practitioner | 355 Central Ave, Fillmore, CA 93015-1920 | 2006-03-14 |
| 1578533659 | Jose E Mendoza IIi | Emergency Medicine | 1480 Center Rd, Suite A, Avon, OH 44011-1239 | 2006-01-23 |
| 1114553617 | Jose Mendoza | Pharmacist | 102 S University Blvd, Kingsville, TX 78363 | 2020-03-16 |
| Street Address |
K4 CALLE 17 JARDINES DE COUNTRY CLUB |
| City | CAROLINA |
| State | PR |
| Zip Code | 00983-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548522 | Barakah Two Thousands Drug LLC | Pharmacy | Ave Campo Rico, Esq Ave Fidalgo Diaz, Sabana Gardens, Carolina, PR 00983 | 2020-11-04 |
| 1255945598 | Jessica Carrion | Physical Medicine & Rehabilitation | Via 16 Villa Fontana, Jr 8, Carolina, PR 00983 | 2020-09-03 |
| 1184233298 | Kassandra Velez | Physical Medicine & Rehabilitation | Villa Fontana Via 16, Jr 8, Carolina, PR 00983 | 2020-07-24 |
| 1639794159 | Jannelle Feliciano | Psychologist | Avenida Fidalgo Diaz, #cl3 Via Emilia, Villa Fontana, Carolina, PR 00983 | 2020-06-10 |
| 1972143113 | Yarissa M Tolentino Felix | Counselor | Universidad Ana G. Mendez, Edificio Kingbird Innovation Center Suite 4, Carolina, PR 00983 | 2020-01-15 |
| 1295374189 | Rey Jose Santiago-crespo | Pharmacist | 65th Infantry/jesus Fragoso, Carolina, PR 00983 | 2019-12-26 |
| 1598301814 | Dayana Marie Santiago Tristani | Pharmacist | 65 Infanteria & Avenida Fragoso, Carolina, PR 00983 | 2019-11-21 |
| 1578111043 | Shalem Consumer Brands | Eyewear Supplier (Equipment, not the service) | Avenida JesÚs M. Fragoso, Carolina, PR 00983 | 2019-08-28 |
| 1366098766 | Jeremy Swan Rodriguez Camejo | Psychologist | Bf21 Calle 110, Jardines De Country Club, Carolina, PR 00983 | 2019-08-13 |
| 1750849287 | Pro Audiology Solutions, LLC | Clinic/Center | Urbanizacion Villa Fontana, 2al Calle 6 114 Via 6, Carolina, PR 00983 | 2019-03-04 |
| Find all providers in zip 00983 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992231922 | Ramon Morales | Technician/Technologist | 111-50 Calle 80, Villa Carolina, Carolina, PR 00985-4107 | 2017-05-11 |
| 1235664087 | Laura Rodriguez | Technician/Technologist | Pq 26 Comandante Ave, Urb Country Club, Carolina, PR 00982 | 2017-04-28 |
| 1023542396 | Myriam J. Lluch | Technician/Technologist | A29-2 Calle Manuela Walker, Urb Rolling Hills Carr 860, Carolina, PR 00987 | 2017-04-13 |
| 1356619746 | Pr Vision Inc | Technician/Technologist | 65/ Domingo Caceres E., Carolina, Carolina, PR 00985 | 2011-12-13 |
| 1396044111 | Daniel J. Martinez | Technician/Technologist | Via 14, 2 Jl #453 Villa Fontana, Carolina, PR 00983 | 2011-03-18 |
| 1114229283 | Wal-mart Puerto Rico Inc | Technician/Technologist | Carr# 3 Km 6.8, Parque Escorial, Carolina, PR 00987 | 2010-11-23 |
| 1437451523 | Wal-mart Puerto Rico Inc | Technician/Technologist | Pr# 3 Plaza Escorial, Carolina, PR 00987 | 2010-11-23 |
| 1831329747 | Juan A Lopez | Technician/Technologist | Calle56 2m57 Urbmetropolis, Carolina, PR 00987 | 2009-07-27 |
| 1003052853 | Ramon Morales | Technician/Technologist | Calle 80 Bloque 111 # 50, Urb Villa Carolina, Carolina, PR 00985 | 2008-12-29 |
| 1528213253 | Jose Baez | Technician/Technologist | Hr22 Via 15, Villa Fontana, Carolina, PR 00983-3921 | 2008-11-21 |
| Find all providers in CAROLINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.