Healthcare Provider Details

I. General information

NPI: 1609040989
Provider Name (Legal Business Name): CHRISTINE M MENDEZ CASTANER MS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE M MENDEZ CASTANER MS, OTR/L

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 04/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY DISTRICT HOSPITAL MEDICAL CENTER UDH ADULT 2
SAN JUAN PR
00922-2116
US

IV. Provider business mailing address

E19 CALLE MALAGA VISTAMAR MARINA
CAROLINA PR
00983
US

V. Phone/Fax

Practice location:
  • Phone: 787-754-0101
  • Fax:
Mailing address:
  • Phone: 787-762-3572
  • Fax: 787-762-3572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1076
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: