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DR. JUAN CARLOS MENA MD NPI 1184696387


NPI Information

NPI: 1184696387
Provider Name: DR. JUAN CARLOS MENA, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
4411 THE 25 WAY NE
SUITE 150
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 332-6900
Get Directions

DR. Juan Carlos Mena, MD is a diagnostic radiology radiology in Albuquerque, NM with 31 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Juan Carlos Mena, MD NPI is 1184696387. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:1993

The provider's business location address is:

4411 THE 25 WAY NE
SUITE 150
ALBUQUERQUE, NM
ZIP 87109-857
Phone: (505) 332-6900
Fax: (505) 332-6921

The NPI 1184696387 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 3/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology20050716NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1700521102OTHERNEW MEXICOMEDICARE GROUP
28F10255MEDICARE PINTEXAS
32258272OTHERNEW MEXICOMEDICARE GROUP
452713MEDICAIDNEW MEXICO
58L7850MEDICARE PINTEXAS
6L0634MEDICAIDNEW MEXICO
7342534301MEDICARE PINNEW MEXICO
8G54099MEDICARE UPINNEW MEXICO
9600521002OTHERNEW MEXICOMEDICARE IDTF
101492060MEDICAIDLOUISIANA
1145138MEDICAIDNEW MEXICO
1268071019MEDICAIDNEW MEXICO
13800521226OTHERNEW MEXICOMEDICARE IDTF

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.