Mendoza-Prado, Rafael Jacinto

Mendoza-Prado, Rafael Jacinto is an individual health care provider with primary practice located at 205 E Toronto Ave , Mcallen TX 78503-1209. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Mendoza-Prado, Rafael Jacinto can be contacted via phone (956) 687-6155.

Contact Information

Primary practice address
205 E Toronto Ave Mcallen TX 78503-1209
Phone: (956) 687-6155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X SA000718 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1619429404
LBN Legal business name Mendoza-Prado, Rafael Jacinto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2016
Last updated Apr 1st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619429404 NPPES
Texas Other SA00718 TEXAS MEDKCAL BOARD LICENSE

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