MANUEL MENDEZ (NPI# 1629140801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629140801 |
| Entity Type | Individual |
| Full Name | MANUEL MENDEZ |
| Credential | P.A. |
| Practice Address |
11760 Sw 40th St Ste 112 Miami FL 33175-3589 |
| Practice Telephone | 3054857979 |
| Practice Fax Number | 3054857979 |
| Mailing Telephone | 3054857979 |
| Mailing Fax Number | 3054857979 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9101944 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CERTIFICATION | 9101944 | 01 |
| FL | LICENSE | PA9101944 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710275441 | Manuel Mendez | Community Health Worker | 22218 Clyde Ave, Sauk Village, IL 60411-5058 | 2011-07-15 |
| 1538283270 | Manuel M Mendez | Chiropractor | 710 Merchants Dr, Knoxville, TN 37912-3806 | 2007-03-19 |
| 1932134467 | Manuel V Mendez | Surgery | 1620 N Dixie Hwy, West Palm Beach, FL 33407-6502 | 2006-07-12 |
| 1184161572 | Manuel Mendez | Pharmacist | 3500 Se Maricamp Rd, Ocala, FL 34471-6248 | 2017-01-24 |
| 1124471156 | Manuel Mendez Jr. | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, New York, NY 10037-1802 | 2016-07-14 |
| 1053746610 | Manuel L Mendez Jr. | Social Worker | 206 S Mill St, Eldon, MO 65026-1864 | 2013-09-13 |
| 1700108883 | Manuel Antonio Mendez | Pharmacist | 4229 Broadway, New York, NY 10033-3707 | 2010-02-17 |
| 1497948418 | Manuel Mendez | Counselor | 430 W 66th St, Hialeah, FL 33012-6646 | 2007-08-22 |
| 1710196688 | Manuel Arturo Mendez | Pharmacist | Calle Santa Cruz #70, Bayamon, PR 00960 | 2007-05-21 |
| Street Address |
11760 SW 40TH ST STE 112 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003912817 | Tomas Villanueva D.o. P.a. | Internal Medicine | 11760 Sw 40th St Ste 112, Miami, FL 33175-3589 | 2006-09-16 |
| 1174849418 | Rudolph Eberwein Md Pa | Internal Medicine | 11760 Sw 40th St Ste 112, Miami, FL 33175-3589 | 2010-04-12 |
| 1376784801 | Kendall Family Medical Center, Corp. | Family Medicine | 11760 Sw 40th St Ste 112, Miami, FL 33175-3589 | 2009-03-12 |
| 1134313349 | Eberwein and Spaulding Medical Group, Inc. | Internal Medicine | 11760 Sw 40th St Ste 112, Miami, FL 33175-3589 | 2007-08-30 |
| 1144423120 | Critical Care Partners LLP | Internal Medicine | 11760 Sw 40th St Ste 112, Miami, FL 33175-3589 | 2007-06-07 |
| 1952449654 | Hospitalist of South Slorida Inc | Internal Medicine | 11760 Sw 40th St Ste 112, Miami, FL 33175-3589 | 2007-02-02 |
| 1821182791 | Rudolph Eberwein | Internal Medicine | 11760 Sw 40th St Ste 112, Miami, FL 33175-3589 | 2006-10-03 |
| 1295836377 | Jody Lynn Spaulding | Registered Nurse | 11760 Sw 40th St Ste 112, Miami, FL 33175-3589 | 2006-09-25 |
| 1124125935 | Barnet Irwin Alpert | Family Medicine | 11760 Sw 40th St Ste 112, Miami, FL 33175-3589 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| 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.