Healthcare Provider Details

I. General information

NPI: 1417893249
Provider Name (Legal Business Name): AURA ROSA MENDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LUIS A. FERRE HIGHWAY EXIT #21 ROAD 172 CAGUAS TO CIDRA
CAGUAS PR
00725
US

IV. Provider business mailing address

2115 WASHINGTON AVE APT 4N
BRONX NY
10457-3228
US

V. Phone/Fax

Practice location:
  • Phone: 917-225-3676
  • Fax:
Mailing address:
  • Phone: 917-225-3676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: