DR. LUIS E GONZALEZ-MENDOZA


Address: 3100 Sw 62nd Ave Ste 122, Miami, FL 33155-3009
Phone: 3056628398

DR. LUIS E GONZALEZ-MENDOZA (NPI# 1447324744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447324744
Entity Type Individual
Full Name DR. LUIS E GONZALEZ-MENDOZA
Credential M.D.
Practice Address 3100 Sw 62nd Ave Ste 122
Miami
FL 33155-3009
Practice Telephone 3056628398
Practice Fax Number 3056638581
Mailing Telephone 3056628398
Mailing Fax Number 3056638581
Enumeration Date 2006-11-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
ME41667 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUE CROSSBLUESHIELD 08449 01
FL 043879100 05

Office Location

Street Address 3100 SW 62ND AVE STE 122
City MIAMI
State FL
Zip Code 33155-3009

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Taxonomy Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518994524 Adriana A Carrillo Iregui Pediatrics 3100 Sw 62nd Ave Ste 102, Miami, FL 33155-3009 2006-06-26
1891249371 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave Ste 102, Miami, FL 33155 2016-08-12
1760739957 Pedro A Pagan Banchs Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2012-08-07
1700154267 Monica M Dussan Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2011-12-12
1013159268 Variety Children's Hospital Pediatrics 13400 Sw 120th St, Suite 100, Miami, FL 33186-7440 2009-04-02
1275775702 Variety Children's Hospital Pediatrics 9260 Sw 72nd St, Suite 217, Miami, FL 33173-3275 2009-03-30
1245472190 Joshua William Tarkoff Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2009-03-24
1003081100 Supamit Ukarapong Pediatrics 1475 Nw 12th Ave, Miami, FL 33136-1002 2008-04-29
1972635183 Variety Children's Hospital Pediatrics 3100 Sw 62nd Ave, Suite 3 Ne, Miami, FL 33155-3009 2007-03-12
1083757249 Jose E. Perez-rodriguez Pediatrics 7000 Sw 97th Ave, Suite 104, Miami, FL 33173-1494 2007-02-15
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City MIAMI
Zip Code 33155

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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