Provider Demographics
NPI:1821123381
Name:MENENDEZ MORALES, FERDINAND C (MD)
Entity Type:Individual
Prefix:DR
First Name:FERDINAND
Middle Name:C
Last Name:MENENDEZ MORALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AA-1 ROBERTO DIAZ ST.
Mailing Address - Street 2:223 QUINTAS LAS MUESAS
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736
Mailing Address - Country:US
Mailing Address - Phone:787-263-2207
Mailing Address - Fax:787-263-8576
Practice Address - Street 1:174 CALLE LUIS BARRERAS S
Practice Address - Street 2:HOSPITAL AREA DE CAYEY
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-4615
Practice Address - Country:US
Practice Address - Phone:787-738-0066
Practice Address - Fax:787-738-0066
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR11649208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice