Provider Demographics
NPI:1952673063
Name:MENDEZ MARTINEZ, YARINA (PHD)
Entity Type:Individual
Prefix:DR
First Name:YARINA
Middle Name:
Last Name:MENDEZ MARTINEZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:H10 CALLE ANAMU
Mailing Address - Street 2:SANTA CLARA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-6842
Mailing Address - Country:US
Mailing Address - Phone:787-763-1938
Mailing Address - Fax:
Practice Address - Street 1:1848 CALLE GLASGOW
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-4813
Practice Address - Country:US
Practice Address - Phone:787-763-1938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-04
Last Update Date:2012-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4018103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist