EDUARDO S MENDEZ (NPI# 1912147521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912147521 |
| Entity Type | Individual |
| Full Name | EDUARDO S MENDEZ |
| Credential | MD |
| Practice Address |
9618 Pines Blvd Pembroke Pines FL 33024-6240 |
| Practice Telephone | 9545171620 |
| Practice Fax Number | 9545171621 |
| Mailing Telephone | 9545171620 |
| Mailing Fax Number | 9545171621 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2014-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME83615 | FL | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME83615 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009889100 | 05 | |
| FL | MEDICARE PTAN | FR750Z | 01 |
| FL | MEDICAL LICENSE | ME83615 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477907681 | Eduardo Mendez | Specialist/Technologist, Other | 1815 W 56th St Apt 104, Hialeah, FL 33012-7325 | 2016-04-14 |
| 1821012329 | Eduardo R Mendez | Internal Medicine | 9625 Kroger Park Dr Ste 450, Knoxville, TN 37922 | 2006-07-27 |
| 1245780519 | Eduardo Mendez | Counselor | 500 N Morain St, Ste 1250, Kennewick, WA 99336-2950 | 2016-10-10 |
| 1154762482 | Eduardo Mendez | Case Manager/Care Coordinator | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2013-07-15 |
| Street Address |
9618 PINES BLVD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-6240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124144308 | Natarajan Rajagopalan Md Pa | Internal Medicine | 9618 Pines Blvd, Pembroke Pines, FL 33024-6240 | 2007-03-21 |
| 1033543715 | Universal Health and Wellness Center | Specialist | 9618 Pines Blvd, Pembroke Pines, FL 33024-6240 | 2013-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922661792 | All Pro Medical Services, LLC. | General Practice | 17769 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2019-04-17 |
| 1164996310 | Rma Medical Centers of Florida LLC | General Practice | 1 Sw 129th Ave Ste 405, Pembroke Pines, FL 33027-1718 | 2019-01-21 |
| 1972032498 | Family & Patient Health Group LLC | General Practice | 10796 Pines Blvd Suite 201, Pembroke Pines, FL 33026-3919 | 2017-06-08 |
| 1053552380 | Preferred Care Management | General Practice | 19451 Sheridan St, Suite 176, Pembroke Pines, FL 33332-1653 | 2009-03-17 |
| 1376769240 | Palm Springs Medical Services Inc | General Practice | 12133 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2007-04-18 |
| 1144385592 | Ausberto Bienvenido Hidalgo | General Practice | 302 Nw 179th Avenue, Suite 103, Pembroke Pines, FL 33029-2810 | 2006-12-26 |
| 1376588020 | /luis Roberto Briones | General Practice | 9877 Pines Blvd, Pembroke Pines, FL 33024-6164 | 2006-06-17 |
| 1083664346 | South Florida Baptist Group | General Practice | 18331 Pines Blvd, Suite 308, Pembroke Pines, FL 33027 | 2006-05-10 |
| 1922057009 | Leslie G Shawn | General Practice | 400 North Hiatus Road, Suite 201, Pembroke Pines, FL 33026 | 2006-05-08 |
| 1467079541 | Claudia Vazquez Rabelo | General Practice | 8967 Taft St, Pembroke Pines, FL 33024-4648 | 2020-07-06 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
Please comment or provide details below to improve the information on EDUARDO S MENDEZ.
| 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.