Vivian Maria Menendez Llera, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19799 Issued in FL

Practice address

10026 Griffin Rd
Cooper City, FL 33328

Phone

(954) 233-0707

Fax

(954) 252-4309

NPI assigned

Jun 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network
• FL HMO D-SNP
• FL HMO C-SNP

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1013271048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10026 GRIFFIN RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283301",
            "telephone_number": "954-233-0707",
            "fax_number": "954-252-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10026 GRIFFIN RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33328",
            "telephone_number": "954-233-0707",
            "fax_number": "954-252-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ LLERA",
        "first_name": "VIVIAN",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Evan McVay, DC
• Med Solutions Group LLC
• Medicus Vulnerum Inc
• Marysabel Mejia
• Frieda Menasche, PT
• Shirley Y Mesa, MS CCC SLP
• Steven Messina, LMT
• April Liz Metott, MS.CCC-SLP
• Hailey Allison Metzger
• Carlo Alberto Preciso Micheletti

• General Practice Dentistry in Cooper City, FL
• Providers in Cooper City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.