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General NPI Number Information
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NPI Number | 1033887401
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Entity Type | Individual
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Provider Name | ALEJANDRO MENDEZ DMD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 2053 CENTRO CARIBE PONCE BY PASS SUITE 101
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-812-1010
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Fax |
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Provider Business Mailing Address
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Address Line | CONDOMINIO TORRES DEL PARQUE APTO 1502 NORTE
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-324-8281
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3392
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License Number State | PR
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