Individual
GRACIELA SANTOS MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
A18 CALLE PALMA REAL, VILLAS DE SAGRADO CORAZON, PONCE, PR 00716
(787) 408-8257
Mailing address
A18 CALLE PALMA REAL, VILLAS DE SAGRADO CORAZON, PONCE, PR 00716
(787) 408-8257
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2212
PR
390200000X
Student in an Organized Health Care Education/Training Program
36013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2212
INTERN CERTIFICATE
PR
01
—
36013
INTERN CERTIFICATE
FL
Enumeration date
10/06/2021
Last updated
10/06/2021
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