Healthcare Provider Details

I. General information

NPI: 1033557194
Provider Name (Legal Business Name): CRISTINA MARIE GONZALEZ MENDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 FRANCE AVE S STE 200
EDINA MN
55435-2141
US

IV. Provider business mailing address

3500 AMERICAN BLVD W STE 300
BLOOMINGTON MN
55431-4442
US

V. Phone/Fax

Practice location:
  • Phone: 952-806-0011
  • Fax:
Mailing address:
  • Phone: 952-512-5600
  • Fax: 952-512-5651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number62940
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: