Consuelo Mendez Md Inc | |
2955 Canfield Rd Youngstown OH 44511-4800 | |
(330) 270-0118 | |
(330) 270-0120 |
Full Name | Consuelo Mendez Md Inc |
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Speciality | Internal Medicine |
Location | 2955 Canfield Rd, Youngstown, Ohio |
Authorized Official Name and Position | Tracy Lynn Brooks (INSURANCE MANAGER) |
Authorized Official Contact | 3302700118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Consuelo Mendez Md Inc 2955 Canfield Rd Youngstown OH 44511-4800 Ph: (330) 270-0118 | Consuelo Mendez Md Inc 2955 Canfield Rd Youngstown OH 44511-4800 Ph: (330) 270-0118 |
NPI Number | 1821481037 |
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Provider Enumeration Date | 03/12/2015 |
Last Update Date | 03/12/2015 |
Medicare PECOS PAC ID | 3476853219 |
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Medicare Enrollment ID | O20151130000825 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821481037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35054678M (Ohio) | Primary |
Provider Name | Consuelo A Mendez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568441780 PECOS PAC ID: 5395876759 Enrollment ID: I20100629000161 |
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