# DR. LENNY TUA MENDEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1225227051
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 16894 | PR | — |
| 208D00000X | General Practice Physician | ACN532 | FL | Yes |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 03/27/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 012863800 | — | FL |
| 01 | — | 1119187 | CAREPLUS | FL |
| 01 | — | 1456278 | WELLCARE | — |
| 01 | — | FG350A | MEDICARE | FL |
| 01 | — | P01756119 | SIMPLY | FL |
| 01 | — | P1056619 | FREEDOM | FL |
| 01 | — | P988170 | OPTIMUM | FL |