Provider Demographics
NPI:1376311761
Name:MENDEZ GONZALEZ, ALONDRA DEL KORAL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALONDRA
Middle Name:DEL KORAL
Last Name:MENDEZ GONZALEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 6108
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-9075
Mailing Address - Country:US
Mailing Address - Phone:939-200-8867
Mailing Address - Fax:
Practice Address - Street 1:CARR. 417, KM, 2.3, BARRIO MALPASO
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:939-200-8867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-14
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7387103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical