Doctor Name: | MS. CARMEN IVETTE MENDEZ |
NPI Number: | 1134420557 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LIC |
License Number: | 17680 |
Business Practice Address: | Urb Ext Jardines #36 Aguada, PR - 00602 |
Business Phone Number: | 7876279524 |
Business Fax Number: | |
Mailing Address: | Urb. Ext. Jardines, Bzn 36,, AGUADA |
State: | PR |
Postal Code: | 00602 |
Phone Number: | 7876279524 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2010 |
NPI Last Update Date: | 11/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 17680 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |