Mendoza, Bernardo
Mendoza, Bernardo is an individual health care provider with primary practice located at 1815 W Saint Marys Rd , Tucson AZ 85745-2653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mendoza, Bernardo can be contacted via phone (520) 834-4289.Contact Information
Primary practice address
1815 W Saint Marys Rd
Tucson AZ 85745-2653
Phone: (520) 834-4289
Fax: (520) 628-4863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 046924 | Connecticut |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 33686 | Arizona |
Profile Details
| NPI number | 1609980499 |
|---|---|
| LBN Legal business name | Mendoza, Bernardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Mar 14th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609980499 | NPPES |
| Connecticut | MEDICAID | 1609980499 | |
| Connecticut | Other | P00250971 | |
| Connecticut | Other | 300051634 | |
| Connecticut | Other | 935520 | |
| Connecticut | Other | 0829457 | |
| Connecticut | Other | P00250971 | |
| Connecticut | Other | 300051634 | |
| Connecticut | Other | 300061534 | |
| Connecticut | Other | 93520 | |
| Connecticut | Other | DD0379 | |
| Connecticut | Other | 300051634 | |
| Connecticut | Other | 300051634 | |
| Connecticut | Other | 935520 | |
| Connecticut | MEDICAID | 935520 | |
| Connecticut | Other | 7775720 | |
| Connecticut | Other | 935520001 | |
| Connecticut | Other | 1Z9863 | |
| Connecticut | Other | AZ0778710 |
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