Provider Demographics
NPI:1043042021
Name:RAMON MENDEZ, ADANAY
Entity type:Individual
Prefix:
First Name:ADANAY
Middle Name:
Last Name:RAMON MENDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9760 SW 184TH ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6964
Mailing Address - Country:US
Mailing Address - Phone:305-963-7138
Mailing Address - Fax:
Practice Address - Street 1:9760 SW 184TH ST APT 3A
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6964
Practice Address - Country:US
Practice Address - Phone:305-963-7138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-17
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician