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General NPI Number Information
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NPI Number | 1518618040
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Entity Type | Individual
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Provider Name | VICTOR IVAN MENDOZA CRUZ MD
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Gender | Male
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | COND CENTRO PLZ, BO. MONACILLOS
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City | SAN JUAN
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-754-0101
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Fax |
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Provider Business Mailing Address
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Address Line | URB ROOSEVELT CALLE ARRIGOITIA 484
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 609-727-7093
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 23818
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License Number State | PR
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