Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 036-069754 | IL |
Y | 207RC0000X | Internist - Cardiovascular Disease | 47402 | WI |
N | 207RC0000X | Internist - Cardiovascular Disease | H9117 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | MD2019-1021 | NM |
N | 207RC0200X | Critical Care Medicine | 47402 | WI |
NPI | 1013965482 |
---|---|
Provider Name | Jose Cuitlahuac Mendez |
First Address | Milwaukee, WI 53211-4528 |
Second Address | Dallas, TX 75246-2003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 25/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
340097001 | (05) | TX |
340097002 | (05) | TX |
340097003 | (05) | TX |
34585700 | (05) | WI |
E18632 | (02) | WI |