Provider Demographics
NPI:1932395852
Name:FRANCISCO MENDEZ LOPEZ MD CSP
Entity type:Organization
Organization Name:FRANCISCO MENDEZ LOPEZ MD CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-824-2121
Mailing Address - Street 1:UNION STREET
Mailing Address - Street 2:25
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751-0851
Mailing Address - Country:US
Mailing Address - Phone:787-824-2121
Mailing Address - Fax:787-824-2121
Practice Address - Street 1:UNION STREET
Practice Address - Street 2:25
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-0851
Practice Address - Country:US
Practice Address - Phone:787-824-2121
Practice Address - Fax:787-824-2121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9417261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF86961Medicare UPIN