Individual provider Active NPI

Yaqueline Mena, LMT

  • Rehabilitation Chiropractor
  • Doral, FL
National Provider Identifier
1174826267
Registry record updated Dec 10, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective May 19, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
MA60770 Issued in FL
Practice address
7925 NW 12TH St
Suite # 229
Doral, FL 33126-1827
Phone
(305) 597-7361
Fax
(305) 597-7364
NPI assigned
Dec 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X MA60770 FL Primary

Addresses

Primary practice location

7925 NW 12TH St
Suite # 229
Doral, FL 33126-1827

Mailing address

7925 NW 12TH St
Suite # 229
Doral, FL 33126-1827
Phone (305) 597-7361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
MA60770FLMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
All Professional Heathcare Center Past Accepting new patients
Massage of South Florida Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1174826267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 NW 12TH ST",
            "address_2": "SUITE # 229",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261827",
            "telephone_number": "305-597-7361",
            "fax_number": "305-597-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 NW 12TH ST",
            "address_2": "SUITE # 229",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261827",
            "telephone_number": "305-597-7361",
            "fax_number": "305-597-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA",
        "first_name": "YAQUELINE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "MA60770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.