Provider Demographics
NPI:1205330347
Name:MENDEZ, CHRISTINE DENISE (MPH)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:DENISE
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 SAN REMO AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3068
Mailing Address - Country:US
Mailing Address - Phone:786-527-9433
Mailing Address - Fax:
Practice Address - Street 1:6200 SW 73RD ST # E
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4679
Practice Address - Country:US
Practice Address - Phone:786-527-9433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare