Healthcare Provider Details

I. General information

NPI: 1881042968
Provider Name (Legal Business Name): ALDO AXEL MENDEZ RUIZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2016
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 KESSLER ST STE 205
MERRIAM KS
66204-2553
US

IV. Provider business mailing address

7450 KESSLER ST STE 205
MERRIAM KS
66204-2553
US

V. Phone/Fax

Practice location:
  • Phone: 913-632-9981
  • Fax: 913-632-9828
Mailing address:
  • Phone: 913-632-9981
  • Fax: 913-632-9828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberR-10545
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number04-52681
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA186640
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: