MEDICARE: NEUROPEDIATRIC HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician
2	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician

General Provider Information

NPI Number	:	1235817883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROPEDIATRIC HEALTH LLC

Provider Business Mailing Address
First Line	:	770 AVE HOSTOS STE 302
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00682-1552
Country	:	US
Telephone Number	:	787-456-7044
Fax Number	:

Provider Business Practice Location Address
First Line	:	770 AVE HOSTOS STE 302
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00682-1552
Country	:	US
Telephone Number	:	787-456-7044
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ADRIANA MENDEZ SANCHEZ
Credential	:	MD
Telephone Number	:	787-456-7044

Provider Enumeration Date	:	07/05/2023
Last Update Date	:	07/05/2023

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Directions to “NEUROPEDIATRIC HEALTH LLC ” Practice Location

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