Healthcare Provider Details

I. General information

NPI: 1164916342
Provider Name (Legal Business Name): ALEJANDRA MENDEZ PERALTA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 7004
PONCE PR
00732-7004
US

IV. Provider business mailing address

PO BOX 2116
SAN JUAN PR
00922-2116
US

V. Phone/Fax

Practice location:
  • Phone: 787-812-2525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number21582
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number14771-I
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: