Organization Active NPI

Efrain Mendez, MD PA

  • Psychiatry Physician
  • Pembroke Pines, FL
National Provider Identifier
1003175308
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
99003 Issued in FL
Legal business name
EFRAIN MENDEZ, MD PA
Practice address
1601 N Palm Ave
Suite 110a
Pembroke Pines, FL 33026-3200
Phone
(954) 399-8422
Fax
(954) 399-8001
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Efrain Mendez, MDNPI 1871640847
Title
Owner
Phone
(954) 399-8422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 99003 FL Primary

Addresses

Primary practice location

1601 N Palm Ave
Suite 110a
Pembroke Pines, FL 33026-3200

Mailing address

1601 N Palm Ave
Suite 110a
Pembroke Pines, FL 33026-3200
Phone (954) 399-8422

National Provider Directory

National Provider Directory

Locations

1601 N Palm Ave
Ste 110A
Pembroke Pines, FL 33026
Phone (954) 399-8422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1003175308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE",
            "address_2": "SUITE 110A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263200",
            "telephone_number": "954-399-8422",
            "fax_number": "954-399-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE",
            "address_2": "SUITE 110A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263200",
            "telephone_number": "954-399-8422",
            "fax_number": "954-399-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFRAIN MENDEZ, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "EFRAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-399-8422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "99003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.