Juan R Mendoza Ortiz, MD
Family Medicine in Bloomington, Illinois
1447737358- Practice location
- 3024 E Empire St Fl 3, Bloomington, IL 61704-5402
- Phone
- 309-556-7700
- Fax
- 309-556-7775
- Last updated
- February 19, 2026
Juan Rafael Mendoza Ortiz is a Family Medicine based in Bloomington, IL. Juan Rafael Mendoza Ortiz practices in Bloomington, IL and has the professional credentials of MD. The NPI Number for Juan Rafael Mendoza Ortiz is 1447737358 and holds a License No. 036175617 (IL). The current practice location address for Juan Rafael Mendoza Ortiz is 3024 E Empire St Fl 3, Bloomington, IL 61704-5402 and can be reached out via phone at 309-556-7700 and via fax at 309-556-7775.
Provider Profile Details
- NPI Number
- 1447737358
- Provider Name
- Juan Rafael Mendoza Ortiz
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3024 E Empire St Fl 3, Bloomington, IL 61704-5402
- Phone Number
- 309-556-7700
- Fax Number
- 309-556-7775
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 24, 2018
- Last Update Date
- February 19, 2026
- Certification Date
- February 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3024 E Empire St Fl 3
Bloomington, IL 61704-5402 - City
- Bloomington
- State
- Illinois
- Zip
- 61704-5402
- Phone Number
- 309-556-7700
- Fax Number
- 309-556-7775
Provider Business Mailing Address Details
- Address
- 611 W Park St
Urbana, IL 61801-2501 - City
- Urbana
- State
- IL
- Zip
- 61801-2501
- Phone Number
- 217-383-3311
License Information
- License Number
- 036175617
- License State
- IL
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Bloomington, IL
View all Family Medicine providers in Bloomington →Frequently Asked Questions
What is the NPI number of Juan R Mendoza Ortiz, MD?
The NPI number of Juan R Mendoza Ortiz, MD is 1447737358. It was assigned on July 24, 2018 and is currently active in the NPPES registry.
What is the specialty of Juan R Mendoza Ortiz, MD?
Juan R Mendoza Ortiz, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in IL under license number 036175617.
Where does Juan R Mendoza Ortiz, MD practice?
The practice location is 3024 E Empire St Fl 3, Bloomington, IL 61704-5402. The office can be reached at 309-556-7700 (phone) or 309-556-7775 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447737358 directly on the NPPES registry website.