Healthcare Provider Details

I. General information

NPI: 1063174407
Provider Name (Legal Business Name): MENENDEZ HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 11/16/2021
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 CALLE ESTANCIAS
BAYAMON PR
00956-5092
US

IV. Provider business mailing address

56 CALLE ESTANCIAS
BAYAMON PR
00956-5092
US

V. Phone/Fax

Practice location:
  • Phone: 787-426-1177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. FRANCISCO MENENDEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-426-1177