| Doctor Name: | YADIRA MENDEZ FELICIANO |
| NPI Number: | 1275947244 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 31328-R |
| Business Practice Address: | 2225 Ponce Bypass Suite 407 Ponce, PR - 007171318 |
| Business Phone Number: | 7878408686 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1359, AGUADA |
| State: | PR |
| Postal Code: | 006021359 |
| Phone Number: | 7879348784 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2014 |
| NPI Last Update Date: | 06/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 31328-R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |