Antonio B Menchavez, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP1349432 Issued in FL

Practice address

1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521

Phone

(772) 335-2471

Fax

(772) 335-2497

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atlantic Coast Anesthesia Associates

  • Anesthesiology Physician
  • Port St Lucie, FL
  • NPI 1669425641
  NPD (past)
• Molina Burkett Chauhan Wheeley and Fink MD PA

  • Anesthesiology Physician
  • Fort Pierce, FL
  • NPI 1649486986
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1043328263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7520",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349857520",
            "telephone_number": "772-335-2471",
            "fax_number": "772-335-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE TIFFANY AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527521",
            "telephone_number": "772-335-2471",
            "fax_number": "772-335-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHAVEZ",
        "first_name": "ANTONIO",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "ARNP 1349432",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1349432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mefl, LLC
• Mehan Geriatric Care Corp
• James V Meidel
• Michael A. Meloni, MD
• James Michael Melotek, M.D.
• Yasmeen Maria Mendez
• Hazel Mentore, MHP
• Eva Mercado
• Terika Tashae Mercedes, ED.D
• Mercy Health and Wellness LLC

• Certified Registered Nurse Anesthetist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.