Provider Demographics
NPI:1407851298
Name:MENDEZ, ERLANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:ERLANDO
Middle Name:
Last Name:MENDEZ
Suffix:
Gender:M
Credentials:MD
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 5346
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-5346
Mailing Address - Country:US
Mailing Address - Phone:787-280-7029
Mailing Address - Fax:787-280-7029
Practice Address - Street 1:PLAZA HATO ARRIBA
Practice Address - Street 2:CARR 111 KM 14.5 OFICINA #4
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-280-7029
Practice Address - Fax:787-280-7029
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10646208D00000X, 173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF75988Medicare UPIN