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Individual

DR. RAFAEL ORLANDO MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
606 TITO CASTRO LA RAMBLA PLAZA, SUITE 233, PONCE, PR 00730
(787) 840-6838
(787) 840-6838
Mailing address
37 CALLE MAGA URB VALLE HUCARES, JUANA DIAZ, PR 00795
(787) 260-7204

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14244
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14244
MEDICAL LICENSE
PR
Enumeration date
02/20/2007
Last updated
07/08/2007
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