Wanda E Mendoza Sr.
Individual provider Active NPI Pharmacy Technician · Camy, PR
NPI 1609269356 · NPPES record last updated Mar 5, 2015
Key facts
- NPI
- 1609269356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 8195 (PR)
- Practice address
- #669 Pena
Bo Pente Box 1052
Camy, PR 00627-0062 - Phone
- (787) 396-0010
- NPI assigned
- Mar 5, 2015
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8195 | PR | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 8195 | PR | Yes |
Addresses
Primary practice location
#669 Pena
Bo Pente Box 1052
Camy, PR 00627-0062
Mailing address
PO Box 1052
Box 1052
Camuy, PR 00627-1052
Phone (787) 396-0010
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2015. 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.