Provider Demographics
NPI:1073971099
Name:MENDEZ, SARAI (BS SCIENCE)
Entity Type:Individual
Prefix:
First Name:SARAI
Middle Name:
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:BS SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 URB CATALANA
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-2725
Mailing Address - Country:US
Mailing Address - Phone:787-462-9480
Mailing Address - Fax:
Practice Address - Street 1:66 URB CATALANA
Practice Address - Street 2:
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-2725
Practice Address - Country:US
Practice Address - Phone:787-462-9480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12522355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant