Physician Compare National (NPI:1104457449)

HEALTHCARE PROVIDER: LIZZETTE MARIE MENDEZ PSY D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1104457449
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971926650
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200714001891
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MENDEZ
	Individual professional last name
Provider First Name	LIZZETTE
	Individual professional first name
Provider Middle Name	MARIE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	CALLE RIVERA EDIF PINEIRO
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 20
	Group Practice or individual's line 2 address
City	GUAYNABO
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00969
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9392186699
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y