Individual provider · Type 1 NPI

Edwin Ivan Mendoza, MD

Student in an Organized Health Care Education/Training Program · El Paso, TX

NPI number 1558116202 Active

Practice location

4800 Alberta Ave # MSC51009
El Paso, TX 79905-2709

Call (915) 215-4116 Map

Mailing address

130 Rick Francis St # 41007
El Paso, TX 79905-2841

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10090528 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in El Paso

See all in El Paso →

About NPI 1558116202

Edwin Ivan Mendoza, MD's National Provider Identifier is 1558116202, issued on Apr 17, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Paso, TX. The record was last updated on Jul 16, 2025.