Provider Demographics
NPI:1174924047
Name:ARIAS MENDOZA, PAOLA ALEXANDRA (MD)
Entity type:Individual
Prefix:DR
First Name:PAOLA
Middle Name:ALEXANDRA
Last Name:ARIAS MENDOZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PAOLA
Other - Middle Name:ALEXANDRA
Other - Last Name:ARIAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 481
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-0481
Mailing Address - Country:US
Mailing Address - Phone:787-469-3127
Mailing Address - Fax:
Practice Address - Street 1:1625 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5005
Practice Address - Country:US
Practice Address - Phone:915-747-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-10
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS5314207P00000X
PR33660-R207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine