Individual
BERNARDO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1815 W SAINT MARYS RD, TUCSON, AZ 85745-2653
(520) 834-4289
(520) 628-4863
Mailing address
3709 N CAMPBELL AVE, STE 201, TUCSON, AZ 85719-1563
(520) 320-3819
(520) 629-9430
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
046924
CT
2086S0129X
Vascular Surgery Physician
Primary
33686
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829457
CIGNA
—
05
—
1609980499
—
CT
01
—
1Z9863
INTERGROUP HEALTHNET
—
01
—
300051634
HEALTH PLAN AHP
AZ
01
—
300051634
ONE HEALTHPLAN
—
01
—
300061534
MARICOPA FOUND
—
01
—
7775720
AETNA
—
01
—
93520
AHCCCS
—
01
—
935520
APIPA
—
05
—
935520
—
AZ
01
—
935520001
MERCY CARE
—
01
—
AZ0778710
BCBS
AZ
01
—
DD0379
RR MC GRP
—
01
—
P00250971
TRAVELERS MC
—
Enumeration date
08/18/2006
Last updated
03/14/2019
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