Maria M Mena MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

MARIA M MENA MD

Practice address

401 E North Blvd
Suite 101
Leesburg, FL 34748-5262

Phone

(352) 435-7772

NPI assigned

Jan 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Maria Magdalena Mena, MD

Title

Owner

Phone

(352) 435-7772

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1184961898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E NORTH BLVD",
            "address_2": "SUITE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485262",
            "telephone_number": "352-435-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E NORTH BLVD",
            "address_2": "SUITE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485262",
            "telephone_number": "352-435-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA M MENA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "MENA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "MAGDALENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-435-7772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007161200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Francis Manson, M.S.S.W.
• Manuel Alvarado MD PA
• Terrence Manuel, LCSW
• Marathon Health LLC
• Bozena Teresa Marcinczyk, PH.D.,LMFT
• Christina Mariathasan, PTA
• Lesa W. Mariner, ARNP
• Jacquelyn C. Markham, RPT
• Elias Maroun, MD
• Patricia Marrufo

• Pediatric Adolescent Medicine Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Pediatric Adolescent Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.