Individual
ALEXIS N MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3580 NW 85TH CT, APT 561, DORAL, FL 33122-1984
(407) 409-2985
Mailing address
3580 NW 85TH CT, APT 561, DORAL, FL 33122-1984
(407) 409-2985
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024177107
VA
367500000X
Certified Registered Nurse Anesthetist
9283983
FL
Other
Enumeration date
01/13/2016
Last updated
02/01/2019
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