DR. MAURICIO MENDEZ SANDOVAL OD
NPI 1417817230
Student in an Organized Health Care Education/Training Program in Medford, NY

Q: What is Mauricio Mendez Sandoval's NPI number?

The NPI number for Mauricio Mendez Sandoval is 1417817230. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Q: What is Mauricio Mendez Sandoval's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since November 13, 2025

1643 ROUTE 112 STE A, MEDFORD, NY 11763(631) 758-5575(631) 758-5579 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Mauricio Mendez Sandoval Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAURICIO MENDEZ SANDOVAL OD (NPI 1417817230) is an individual student in an organized health care education/training program in Medford, New York and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1417817230

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MAURICIO MENDEZ SANDOVALCredential: OD

Location Address1643 ROUTE 112 STE AMedford, NY 11763-3654

Mailing Address1643 Route 112 Ste AMedford, NY 11763-3654 · (631) 758-5575 · Fax (631) 758-5579

Phone(631) 758-5575

Fax(631) 758-5579

Sole ProprietorNo

Enumeration DateNovember 13, 2025

NPPES CertifiedNovember 13, 2025

✔ NPI 1417817230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1643 ROUTE 112 STE A, Medford, NY 11763

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN I GOODMAN O.D.

Optometrist

1643 ROUTE 112 STE A
MEDFORD, NY 11763

Suffolk County (631) 758-5575

STEVEN I GOODMAN OD PC

Optometrist

1643 ROUTE 112 STE A
MEDFORD, NY 11763

Suffolk County (631) 758-5575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mauricio Mendez Sandoval's NPI number?

The NPI number for Mauricio Mendez Sandoval is 1417817230. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Where is Mauricio Mendez Sandoval located?

Mauricio Mendez Sandoval practices at 1643 Route 112 Ste A, Medford, NY 11763. The listed phone number is (631) 758-5575.

What is Mauricio Mendez Sandoval's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mauricio Mendez Sandoval was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.