Individual
DR. JORGE MENDEZ -LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 CALLE PISCIS, URB. LOS ANGELES, CAROLINA, PR 00979-1620
(787) 791-5712
(787) 253-3689
Mailing address
1640 CALLE TAMESIS, EL PARAISO, SAN JUAN, PR 00926-2953
(787) 402-3757
(787) 292-6953
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14861
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14861
STATE MEDICAL LICENSE
PR
Enumeration date
07/05/2005
Last updated
11/25/2009
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