Individual provider · Type 1 NPI
Domingo Justiniano Mendez
Health Service Clinic/Center · Moca, PR
NPI number
1992862627
Active
Practice location
200 Calle Juan San Antonio
Moca, PR 00676-4144
Mailing address
PO Box 1857
Moca, PR 00676-1857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | DM08332-9 (PR) |
Health Service Clinic/Center: Definition to come...
About NPI 1992862627
Domingo Justiniano Mendez's National Provider Identifier is 1992862627, issued on Jan 2, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Moca, PR. The record was last updated on Oct 11, 2012.