Provider Demographics
NPI:1376163071
Name:MENDEZ, BELINDA (MS, OTL)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:MS, OTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3183
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-3183
Mailing Address - Country:US
Mailing Address - Phone:787-546-1507
Mailing Address - Fax:
Practice Address - Street 1:CARR 107 KM 28.5
Practice Address - Street 2:EDIFICIO MANUEL GARCIA
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00605
Practice Address - Country:US
Practice Address - Phone:787-891-4875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1107225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist