Individual
SUHEILY MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS CLINICAL SW
Contact information
Practice address
HC 3 BOX 17231, QUEBRADILLAS, PR 00678-9569
(787) 371-2417
Mailing address
HC 3 BOX 17231, QUEBRADILLAS, PR 00678-9569
(787) 371-2417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10755
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
NOT REQUIRED
—
Enumeration date
04/16/2019
Last updated
04/16/2019
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