NPI | 1164256293 |
---|---|
Former Legal Business Name | JOSEPH MENDEZ GOMEZ MD SLE MBR |
Entity Type | Organization |
Authorized Contact | JOSEPH MENDEZ GOMEZ President 787-234-0509 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-08-30 |
Last Update Date | 2024-08-30 |