Individual
EDLISSE JOMARY MENDOZA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP
Contact information
Practice address
531 CALLE PRUNA, SAN JUAN, PR 00923-2122
(787) 518-1956
Mailing address
531 CALLE PRUNA, SAN JUAN, PR 00923-2122
(787) 518-1956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
005959
PR
363LF0000X
Family Nurse Practitioner
Primary
APRN11034870
FL
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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