Provider Demographics
NPI:1265303655
Name:MENDES-NETO, CRISTINA ISABEL
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ISABEL
Last Name:MENDES-NETO
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 1:105 MORAINE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-3626
Mailing Address - Country:US
Mailing Address - Phone:857-333-7826
Mailing Address - Fax:
Practice Address - Street 1:105 MORAINE ST APT 2
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-3626
Practice Address - Country:US
Practice Address - Phone:857-333-7826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty