Individual
BERNARDO MENDOZA
Active
Individual
BERNARDO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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