Active NPI
Eduardo Raudel Fraga Mendez, APRN
- Family Nurse Practitioner
- West Palm Beach, FL
National Provider Identifier
1235058397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11049138
- Practice address
- 4847 David S Mack Dr
West Palm Beach, FL 33417-8023 - Phone
- (561) 868-2993
- NPI assigned
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11049138 | FL | Primary |
Addresses
Primary practice location
4847 David S Mack Dr
West Palm Beach, FL 33417-8023
Mailing address
1835 Lakeshore Ave Lot 13
West Palm Beach, FL 33409-5118
Phone (561) 601-8849
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235058397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 LAKESHORE AVE LOT 13",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334095118",
"telephone_number": "561-601-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4847 DAVID S MACK DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334178023",
"telephone_number": "561-868-2993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAGA MENDEZ",
"first_name": "EDUARDO",
"middle_name": "RAUDEL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-13",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11049138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.