Individual provider · Type 1 NPI

Humberto Gerardo Mendoza, MD

Student in an Organized Health Care Education/Training Program · Bridgeport, CT

NPI number 1902284110 Active

Practice location

267 Grant Street, Med Ed Podium 4
Bridgeport, CT 06610-0120

Other practice locations

  • 1400 Pelham Pkwy S, Bronx, NY 10461-1138 · (718) 918-3045

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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.

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About NPI 1902284110

Humberto Gerardo Mendoza, MD's National Provider Identifier is 1902284110, issued on May 8, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgeport, CT. The record was last updated on Apr 8, 2024.