Individual
DR. DIANA E MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4090 S RIDGEWOOD AVE, PT ORANGE, FL 32127-4501
(386) 761-0050
(386) 761-1167
Mailing address
6101 BLUE LAGOON DR STE 400, MIAMI, FL 33126-2051
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13197
PR
207R00000X
Internal Medicine Physician
Primary
ACN178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267860800
—
FL
Enumeration date
04/22/2006
Last updated
08/14/2024
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