| Doctor Name: | DR. JORGE I MENDEZ |
| NPI Number: | 1912169632 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 17154 |
| Business Practice Address: | Carr 111 Km 30.3 Barrio Juncal Hc03 Box 35468 San Sebastian, PR - 006857565 |
| Business Phone Number: | 9399692479 |
| Business Fax Number: | |
| Mailing Address: | Carr 111 Km 30.3, Barrio Juncal Hc03 Box 35468 SAN SEBASTIAN |
| State: | PR |
| Postal Code: | 006857565 |
| Phone Number: | 9399692479 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2008 |
| NPI Last Update Date: | 06/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17154 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |