Provider Demographics
NPI:1689126443
Name:MENDOZA, MARIA LUISA
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:LUISA
Last Name:MENDOZA
Suffix:
Gender:
Credentials:
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:LUISA
Other - Last Name:MENDOZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1821 N 23RD ST STE 116
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-8538
Mailing Address - Country:US
Mailing Address - Phone:956-800-4212
Mailing Address - Fax:956-800-4145
Practice Address - Street 1:1821 N 23RD ST STE 116
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-8538
Practice Address - Country:US
Practice Address - Phone:956-800-4212
Practice Address - Fax:956-800-4145
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-27
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017892251E00000X, 3747P1801X, 376J00000X, 372500000X, 372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker