Individual
MR. JOSE M MENDOZA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPT
Contact information
Practice address
K4 CALLE 17, JARDINES DE COUNTRY CLUB, CAROLINA, PR 00983-1628
(787) 608-5682
(787) 768-9271
Mailing address
K4 CALLE 17, CAROLINA, PR 00983-1628
(787) 608-5284
(787) 768-9271
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
91
PR
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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