Healthcare Provider Details

I. General information

NPI: 1548508252
Provider Name (Legal Business Name): ADRIANA MENDEZ SANCHEZ M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2013
Last Update Date: 04/02/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 AVE HOSTOS
MAYAGUEZ PR
00682-1551
US

IV. Provider business mailing address

CALL BOX 40,000 SUITE #047
AGUADA PR
00602
US

V. Phone/Fax

Practice location:
  • Phone: 787-366-6040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number22180
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number22180
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: