Querubin P Mendoza MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME74240 Issued in FL

Legal business name

QUERUBIN P MENDOZA MD PA

Practice address

5101 N Habana Ave
Tampa, FL 33614-6818

Phone

(813) 248-2700

Fax

(813) 248-2722

NPI assigned

Dec 30, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Querubin Mendoza, MDNPI 1568458149

Title

Owner/MD

Phone

(813) 248-2700

Specialties & licenses 2

Addresses

Other identifiers 12

Other names 1

• Tampa Bay Cardiovascular Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Querubin Polocarpio Mendoza, MD

  • Cardiovascular Disease Physician
  • Tampa, FL
  • NPI 1568458149
  Medicare reassignment NPD Authorized official
• Amanda Van Hook, APRN, FNP-BC

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1013526052
  Medicare reassignment NPD
• Soraya P. Sanchez, APRN

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1760440887
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1215914148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146818",
            "telephone_number": "813-248-2700",
            "fax_number": "813-248-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146818",
            "telephone_number": "813-248-2700",
            "fax_number": "813-248-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUERUBIN P MENDOZA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "QUERUBIN",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "813-248-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME74240",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "ME74240",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "176468283681",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "22661",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1018644",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274844400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE6354",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "218908590",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2250675",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0118255",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS HEALTH",
            "identifier": "14363001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1210679",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "002620688002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2504898",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Bay Cardiovascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Anne Quealy, ARNP
• Meara Queen, PHD, LP
• Montana Ames Queler, PHD
• Liliana C Quero
• Luis Alberto Quero
• Lara Quesada
• Quest Diagnostics Clinical Laboratories Inc
• Angel Andy Quevedo
• Anna Quian
• Quick Response Nemt - LLC

• Cardiovascular Disease Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.