Samuel Valentin Mendoza (NPI# 1952581688, PAC ID# 9739328790) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
Nation Provider ID (NPI) | 1952581688 |
PAC ID by PECOS | 9739328790 |
Professional Enrollment ID | I20130624000249 |
Full Name | Samuel Valentin Mendoza |
Address |
14 Ave Juan Martinez Suite 77 Guaynabo PR 00971 |
Phone Number | 7875795096 |
Gender | M |
Graduation Year | 2001 |
Primary Specialty | PULMONARY DISEASE |
Secondary Specialties | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
400109 | HIMA SAN PABLO BAYAMON |
Address | Phone | Organization |
---|---|---|
14 Ave Juan Martinez, Suite 77, Guaynabo, PR 00971 | 7875795096 |
Street Address |
14 AVE JUAN MARTINEZ SUITE 77 |
City | GUAYNABO |
State | PR |
Zip | 00971 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rafael Carrasquilla Mejias | General Practice | Boulevard Del Rio I, Apto I22 Ave Filtros 300, Guaynabo, PR 00971 | |
Carmen Mercedes Villanueva | Diagnostic Radiology | Radiology Imaging Associates, LLC | 2 Calle Guayabo, Guaynabo, PR 00971-4000 |
City | GUAYNABO |
Zip Code | 00971 |
Specialty | PULMONARY DISEASE |
City + Specialty | GUAYNABO + PULMONARY DISEASE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.