Individual
SALVADOR MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425
(956) 618-4414
(956) 618-4424
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(956) 618-4414
(956) 618-4424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL52074
SC
2085R0202X
Diagnostic Radiology Physician
Primary
V1190
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568695757
NPI
TX
Enumeration date
09/03/2009
Last updated
06/25/2024
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