Jorge Mendez, MD
Student in an Organized Health Care Education/Training Program in Bronx, NY. Individual provider (NPI-1).
NPI number1013762228
StatusActive
Last updated in NPPESApr 22, 2024
Details
- NPI
- 1013762228
- Entity type
- Individual (NPI-1)
- Name
- Jorge Mendez
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2024
- Certification date
- Apr 21, 2024
- Last updated
- Apr 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
234 E 149th StBronx, NY 10451-5504
Phone 718-579-5030
Mailing address
234 E 149th StBronx, NY 10451-5504
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