Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 222032 | MA |
N | 208600000X | Surgeon | 222032 | MA |
Y | 2086X0206X | Surgical Oncologist | 222032 | MA |
NPI | 1164469292 |
---|---|
Provider Name | Jane E Mendez |
First Address | Miami, FL 33173-3286 |
Second Address | Miami, FL 33176-2118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 09/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020184800 | (05) | FL |