Mendez J Medical Office Pa | |
16420 Nw 59th Ave Miami Lakes FL 33014-5602 | |
(786) 325-9303 | |
Not Available |
Full Name | Mendez J Medical Office Pa |
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Speciality | General Practice |
Location | 16420 Nw 59th Ave, Miami Lakes, Florida |
Authorized Official Name and Position | Lorely Mendez (PRESIDENT) |
Authorized Official Contact | 7866152713 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mendez J Medical Office Pa 16420 Nw 59th Ave Miami Lakes FL 33014-5602 Ph: (786) 325-9303 | Mendez J Medical Office Pa 16420 Nw 59th Ave Miami Lakes FL 33014-5602 Ph: (786) 325-9303 |
NPI Number | 1932510484 |
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Provider Enumeration Date | 05/17/2014 |
Last Update Date | 03/23/2018 |
Medicare PECOS PAC ID | 8628396397 |
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Medicare Enrollment ID | O20150408001511 |
Identifier | Type | State | Issuer |
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1932510484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | ME103361 (Florida) | Primary |
Provider Name | Lorely E Mendez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1316141443 PECOS PAC ID: 9335467000 Enrollment ID: I20150518000710 |
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