MR. EFRAIN J MENDOZA (NPI# 1447594239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447594239 |
| Entity Type | Individual |
| Full Name | MR. EFRAIN J MENDOZA |
| Other Name | DR. EFRAIN J MENDOZA |
| Credential | P.A. |
| Practice Address |
1611 Nw 12th Ave 8th Floor Miami FL 33136-1005 |
| Mailing Address |
10061 Nw 129th Ter Hialeah Gardens FL 33018-1653 |
| Practice Telephone | 3055851111 |
| Mailing Telephone | 5617186236 |
| Mailing Fax Number | 3058233722 |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9100123 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1611 NW 12TH AVE 8TH FLOOR |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286251 | Karen Chitty | Emergency Medicine | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2005-06-21 |
| 1558968263 | Natalie Dinger | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-10-06 |
| 1306452057 | Ryan M Bukhari | Dentist | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1467068155 | Hussien Touny | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1912512310 | Clementina Aurora Cabrera | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-09-11 |
| 1184237265 | Kencya Toussaint | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-28 |
| 1568075976 | Manuel Molina | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-25 |
| 1063025468 | Carlos Federico Moral Ortega | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-25 |
| 1770195919 | Ezekiel Oluwasayo Ijaopo | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-19 |
| 1568070258 | Virosh Dharmadasa | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574450 | Carlos Humberto Jaen Sr. | Physician Assistant | 1685 Sw 17th Ter, Miami, FL 33145-2809 | 2020-06-25 |
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1174037477 | Polina Dasgupta | Physician Assistant | 1390 Brickell Ave Ste 340, Miami, FL 33131-3324 | 2017-11-22 |
| 1437514247 | Evelyn Hernandez | Physician Assistant | 13024 Sw 108th Street Cir, Miami, FL 33186-3419 | 2015-12-21 |
| 1366813966 | Mabel Marichal | Physician Assistant | 13205 Sw 137th Ave Ste 221, Miami, FL 33186 | 2015-10-08 |
| 1427444033 | Tecresha Shaw | Physician Assistant | 104 Nw 145th St, Miami, FL 33168-4930 | 2015-04-09 |
| 1356730964 | Christopher Alvaro Ortiz | Physician Assistant | 9401 Sw 105th Ave, Miami, FL 33176-2623 | 2015-01-20 |
| 1275937948 | Nicole Quicuti | Physician Assistant | 12061 Sw 126th Ter, Miami, FL 33186-6107 | 2014-10-09 |
| 1356750541 | Jonathan E Delvalle | Physician Assistant | 2400 Nw 54th St, Miami, FL 33142-2946 | 2014-08-13 |
| 1164853149 | Melissa Troha | Physician Assistant | 7800 Sw 87th Ave # B200, Miami, FL 33173 | 2013-12-02 |
| Find all providers in MIAMI | ||||
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| 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.