Individual
MARIO MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
(787) 641-7582
Mailing address
REPARTO RAMON SOTO 336, MANATI, PR 00674
(787) 884-5772
(787) 641-4561
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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