Individual
DR. DOMINGO JUSTINIANO MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 CALLE JUAN SAN ANTONIO, MOCA, PR 00676-4144
(787) 877-5580
Mailing address
PO BOX 1857, MOCA, PR 00676-1857
(787) 877-5580
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
DM08332-9
PR
Other
Enumeration date
01/02/2007
Last updated
10/11/2012
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