Healthcare Provider Details

I. General information

NPI: 1346801503
Provider Name (Legal Business Name): ZULEYKA MENDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO VALE COLON II CALLE JUAN SAN ANTONIO
MOCA PR
00676-9761
US

IV. Provider business mailing address

HC 5 BOX 10740
MOCA PR
00676-9761
US

V. Phone/Fax

Practice location:
  • Phone: 939-415-4133
  • Fax:
Mailing address:
  • Phone: 787-823-5500
  • Fax: 787-823-2990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number22526
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: