Healthcare Provider Details

I. General information

NPI: 1154286789
Provider Name (Legal Business Name): ALEJANDRO VAZQUEZ-MENDEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S 70TH ST STE 360
LINCOLN NE
68510-2469
US

IV. Provider business mailing address

2421 20TH ST
COLUMBUS NE
68601-3310
US

V. Phone/Fax

Practice location:
  • Phone: 402-560-1370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License NumberH14297996
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: