Complete Care Center of Miami Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0080663 Issued in FL

Legal business name

COMPLETE CARE CENTER OF MIAMI INC

Practice address

1301 Ponce de Leon Blvd
Coral Gables, FL 33134-3324

Phone

(305) 443-1743

NPI assigned

Oct 4, 2007

Last updated

Apr 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lizbeth Mendoza, MD,PA,FAAFP

Title

Physician

Phone

(305) 446-1743

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LIZBETH MENDOZA MD,PA,FAAP Other name

Locations

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1073701074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343324",
            "telephone_number": "305-443-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343324",
            "telephone_number": "305-443-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE CENTER OF MIAMI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "LIZBETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-446-1743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,PA,FAAFP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0080663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE UPIN",
            "identifier": "U1812A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268210900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIZBETH MENDOZA MD,PA,FAAP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.