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NPI Code Detail

MEDICARE: MARIA ALEJANDRA MENDOZA RINCON MD

MEDICARE: MARIA ALEJANDRA MENDOZA RINCON MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine PhysicianMD2018-0261NM

General Provider Information

NPI Number : 1417331570
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ALEJANDRA MENDOZA RINCON MD
Provider Business Mailing Address
First Line : 2450 S TELSHOR BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-5076
Country : US
Telephone Number : 575-522-8641
Fax Number :
Provider Business Practice Location Address
First Line : 2450 S TELSHOR BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-5076
Country : US
Telephone Number : 575-522-8641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2015
Last Update Date : 08/30/2018

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Directions to “ MARIA ALEJANDRA MENDOZA RINCON MD” Practice Location

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