MR. MARIO ROBERTO MENDOZA - NPI 1447424627 - Student in an Organized Health Care Education/Training Program in Miami, FL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Mr. Mario Roberto Mendoza NPPES

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

MR. MARIO ROBERTO MENDOZA (NPI 1447424627) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1447424627

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. MARIO ROBERTO MENDOZA

Location Address1611 NW 12TH AVEMiami, FL 33136-1005

Mailing Address1200 W Monroe St, #309Chicago, IL 60607-2565 · (773) 495-8005

Phone(773) 495-8005

Sole ProprietorNo

Enumeration DateApril 17, 2008

✔ NPI 1447424627 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.

1611 NW 12TH AVE, Miami, FL 33136

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