Provider Demographics
NPI:1861833865
Name:MENDEZ, VERONICA DANIELLE (MHS)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:DANIELLE
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 SHIPPING AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4614
Mailing Address - Country:US
Mailing Address - Phone:786-499-7128
Mailing Address - Fax:
Practice Address - Street 1:169 E FLAGLER ST STE 1300
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-1205
Practice Address - Country:US
Practice Address - Phone:786-499-7128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor