Joseph John Baza Mendiola
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Dededo, GU
NPI 1013584333 · NPPES record last updated Jun 6, 2021
Key facts
- NPI
- 1013584333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 133 Route 3
Dededo, GU 96929-6911 - Phone
- (671) 969-4844
- NPI assigned
- Jun 6, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
133 Route 3
Dededo, GU 96929-6911
Mailing address
PO Box 5786
Hagatna, GU 96932-8669
Phone (671) 777-5925
Other providers in Dededo, GU
- Craig Matthews
- Joseph Andrew McAllister
- Christopher Medina
- Medpharm
- Frankie Torres Mendiola
- Gregory John Miller
- Daniel H Moges
- Andrew T. Mueller
- Marina NG
- Noel Silan, DPM, PC
All providers in Dededo, GU · Student in an Organized Health Care Education/Training Program in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.