Provider Demographics
NPI:1174506398
Name:MENDEZ, CELIA G (MD)
Entity Type:Individual
Prefix:MRS
First Name:CELIA
Middle Name:G
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:MANSIONES DE RIO PIEDRAS
Mailing Address - Street 2:HORTENSIA 1174
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-753-0424
Mailing Address - Fax:787-753-0545
Practice Address - Street 1:URB PARQUE CENTRAL STE 3
Practice Address - Street 2:568-A JUAN J JIMENEZ
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-753-0424
Practice Address - Fax:787-753-0545
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2013-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR10965207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
601697OtherMMM
660574381OtherMCS
9250158OtherHUMANA DE PUERTO RICO
12610965OtherGLOBAL HEALTH PLANS
209408OtherPREFERRED HEALTH CARE
31105OtherASOCIACION DE MAESTROS DE
PR90294MEOtherTRIPLE S
90298OtherBCBS
PE3881OtherPALIC
2913OtherAMERICAN HEALTH
9982OtherINTERNATIONAL MEDICAL CAR
601697OtherMMM
PR90294MEOtherTRIPLE S