Individual
ELVIN MENDEZ DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
PO BOX 29437, SAN JUAN, PR 00929-0437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9421556
FL
Other
Enumeration date
09/10/2016
Last updated
09/10/2016
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