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General NPI Number Information
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NPI Number | 1770401119
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Entity Type | Individual
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Provider Name | MIGUEL ANGEL MENDOZA NAVARRETE
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Gender | Male
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 225 ABRAHAM FLEXNER WAY STE 850
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City | LOUISVILLE
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State | KY
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Zip | 40202-3840
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Country | US
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Telephone | 502-852-9938
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Fax |
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Provider Business Mailing Address
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Address Line | 8808 MARKSFIELD RD APT 3
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City | LOUISVILLE
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State | KY
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Zip | 40222-5248
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Country | US
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Telephone | 470-312-0690
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | FT912
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License Number State | KY
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