Individual provider · Type 1 NPI

Agnes Maria Mendoza

Contractor · Indianapolis, IN

NPI number 1174647812 Active

Practice location

5980 W 71st St, Suite 201
Indianapolis, IN 46278-2711

Fax (317) 388-0805

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X05008562A (IN)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1174647812

Agnes Maria Mendoza's National Provider Identifier is 1174647812, issued on Mar 19, 2007. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.