Doctor Name: | DR. RAFAEL MENDOZA |
NPI Number: | 1629185830 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 13785 |
Business Practice Address: | L10 Calle 4 Colinas Del Oeste Hormigueros, PR - 006601939 |
Business Phone Number: | 7878492179 |
Business Fax Number: | |
Mailing Address: | Po Box 27, HORMIGUEROS |
State: | PR |
Postal Code: | 006600027 |
Phone Number: | 7875174736 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 09/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13785 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |