Heidy Mendez Vazquez

Individual provider Active NPI Professional Counselor · San Juan, PR

NPI 1104598440 · NPPES record last updated Oct 5, 2021

Key facts

NPI
1104598440
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
4186 (PR)
Practice address
107
Condominio Darlington Ave Luis Munoz Rivera
San Juan, PR 00925
Phone
(787) 342-1320
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4186PRMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X 4186 PR Yes

Addresses

Primary practice location

107
Condominio Darlington Ave Luis Munoz Rivera
San Juan, PR 00925

Mailing address

2050
Condominio Portales Albeli Buzon 704
Guaynabo, PR 00969-0724
Phone (787) 342-1320

Other providers in San Juan, PR

All providers in San Juan, PR · Professional Counselor in Puerto Rico

Sources for this page

Verify at the official NPI Registry.