| Amos R Menendez Mdpa | |
|
711 Nw 23rd Ave Ste 305 Miami FL 33125-3395 | |
| (305) 541-3881 | |
| (305) 642-9534 |
| Full Name | Amos R Menendez Mdpa |
|---|---|
| Speciality | General Practice |
| Location | 711 Nw 23rd Ave Ste 305, Miami, Florida |
| Authorized Official Name and Position | Amos R Menendez (MD) |
| Authorized Official Contact | 3055413881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amos R Menendez Mdpa 711 Nw 23rd Ave Ste 305 Miami FL 33125-3395 Ph: (305) 541-3881 | Amos R Menendez Mdpa 711 Nw 23rd Ave Ste 305 Miami FL 33125-3395 Ph: (305) 541-3881 |
| NPI Number | 1841528700 |
|---|---|
| Provider Enumeration Date | 12/03/2009 |
| Last Update Date | 10/25/2022 |
| Medicare PECOS PAC ID | 5294921334 |
|---|---|
| Medicare Enrollment ID | O20101229000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841528700 | NPI | - | NPPES |
| 208D00000X | Other | FL | TAXONOMY CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME0033341 (Florida) | Primary |
| Provider Name | Amos R Menendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922030543 PECOS PAC ID: 6204921638 Enrollment ID: I20071001000430 |
| Provider Name | Gustavo Marques Alonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518364363 PECOS PAC ID: 1951614643 Enrollment ID: I20150724009798 |
| Provider Name | Mercedes Heredia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164918959 PECOS PAC ID: 0244661718 Enrollment ID: I20200518000682 |
| Provider Name | Raul De La Guardia Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851925150 PECOS PAC ID: 2668871252 Enrollment ID: I20210819003560 |
| Provider Name | Mario Luis Solana Borrego |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568030781 PECOS PAC ID: 1355785726 Enrollment ID: I20240214001577 |
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