Active NPIIndividual providerSole proprietor

Ms. Indira E Matute Mendoza, 17, 668-I

General Practice in Humacao, Puerto Rico

NPI Number1336985886
Practice location
355 Ave Font, Martelo, Shopping Court, 2ND Floor, Humacao, PR 00791
Fax
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Last updated
January 23, 2026

Indira E Matute Mendoza is a General Practice based in Humacao, PR. Indira E Matute Mendoza practices in Humacao, PR and has the professional credentials of 17, 668-I. The NPI Number for Indira E Matute Mendoza is 1336985886 and holds a License No. 17668-I (PR). The current practice location address for Indira E Matute Mendoza is 355 Ave Font, Martelo, Shopping Court, 2ND Floor, Humacao, PR 00791 and can be reached out via phone at 787-200-7833.

Provider Profile Details

NPI Number
1336985886
Provider Name
Indira E Matute Mendoza
Credential
17, 668-I
Provider Entity Type
Individual
Gender
Female
Address
355 Ave Font, Martelo, Shopping Court, 2ND Floor, Humacao, PR 00791
Phone Number
787-200-7833
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2024
Last Update Date
January 23, 2026
Certification Date
January 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
355 Ave Font, Martelo
Shopping Court, 2ND Floor
Humacao, PR 00791
Zip
00791
Phone Number
787-200-7833
Humacao, PR 00791Get directions →

Provider Business Mailing Address Details

Address
Po Box 13072
San Juan, PR 00908-3072
City
San Juan
State
PR
Zip
00908-3072
Phone Number
787-631-5924

License Information

License Number
17668-I
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Indira E Matute Mendoza, 17, 668-I?

The NPI number of Ms. Indira E Matute Mendoza, 17, 668-I is 1336985886. It was assigned on July 3, 2024 and is currently active in the NPPES registry.

What is the specialty of Ms. Indira E Matute Mendoza, 17, 668-I?

Ms. Indira E Matute Mendoza, 17, 668-I is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 17668-I.

Where does Ms. Indira E Matute Mendoza, 17, 668-I practice?

The practice location is 355 Ave Font, Martelo, Shopping Court, 2ND Floor, Humacao, PR 00791. The office can be reached at 787-200-7833 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336985886 directly on the NPPES registry website.

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