Provider Demographics
NPI:1255315990
Name:MENA, HECTOR J (MD)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:J
Last Name:MENA
Suffix:
Gender:M
Credentials:MD
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:PO BOX 19915
Mailing Address - Street 2:FERNANDEZ JUNCOS STATION
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-1915
Mailing Address - Country:US
Mailing Address - Phone:939-642-0074
Mailing Address - Fax:787-283-9036
Practice Address - Street 1:33 CALLE TEODOMIRO RAMIREZ
Practice Address - Street 2:
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692-6524
Practice Address - Country:US
Practice Address - Phone:787-883-0852
Practice Address - Fax:787-965-0478
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
PR11210207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0023086Medicare ID - Type Unspecified
G04572Medicare UPIN