NPI 1093120388
Nelson Mendes, DO
Practice location
- Address
- 381 Pawtucket Ave, Pawtucket, RI 02860-5145
- Phone
- (401) 965-4382
- Mailing address
- 327 Beach 19th St Dept Family Practice, Far Rockaway, NY 11691-4423
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1093120388
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jun 2014
- Record last updated
- 25 Jun 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.