Juan Rafael Mendoza Ortiz, MD

NPI #1447737358 in Bloomington, Illinois

Provider Information

NPI Number
1447737358
Entity Type
Individual
Name
Juan Rafael Mendoza Ortiz, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Jul 24, 2018
Last Updated
Dec 15, 2025

Practice Location

Address
3024 E EMPIRE ST FL 2
ZIP Code
61704-5402
Phone
(309) 556-7800

Specialties & Taxonomy Codes

Specialty
Family Medicine

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