Raquel Morel Mendez

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30549 Issued in FL

Practice address

145 Palm Bay Rd NE Ste 104
West Melbourne, FL 32904-8601

Phone

(321) 728-8053

NPI assigned

Jun 19, 2025

Last updated

Jun 19, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1124915590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 W OKEECHOBEE RD APT 110",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162155",
            "telephone_number": "786-253-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PALM BAY RD NE STE 104",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048601",
            "telephone_number": "321-728-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREL MENDEZ",
        "first_name": "RAQUEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "30549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Michelle Miller, MSN, APRN, FNP-C
• Rebecca Miller, LMT
• Sara Christine Moallem-Wood, LCSW
• Mobile Practitioners Group Inc
• Daniel Moran
• Joy Cheryl Mullen, COTA
• Heather Mullins
• Jennifer Mumme
• Tamara Murray
• Carol R Naismith, OTR/L

• General Practice Dentistry in West Melbourne, FL
• Providers in West Melbourne, 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 Jun 19, 2025; 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.