Provider Demographics
NPI:1588736169
Name:DEVESA MENDEZ, NANCY CAROLINA (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:CAROLINA
Last Name:DEVESA MENDEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:MONTEHIEDRA
Mailing Address - Street 2:87 BIENTEVEO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-9534
Mailing Address - Country:US
Mailing Address - Phone:787-342-9133
Mailing Address - Fax:
Practice Address - Street 1:PROFESSIONAL CENTER BUILDING MUNOZ RIVERA
Practice Address - Street 2:SUITE 208, 209
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-744-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR147632085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology