Provider Demographics
NPI:1093607947
Name:MENCHACA, AIDA E
Entity type:Individual
Prefix:
First Name:AIDA
Middle Name:E
Last Name:MENCHACA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S FRANK ST
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-2409
Mailing Address - Country:US
Mailing Address - Phone:507-269-7295
Mailing Address - Fax:
Practice Address - Street 1:101 S FRANK ST
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-2409
Practice Address - Country:US
Practice Address - Phone:507-269-7295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter