Individual provider Active NPI

Mailen Mendoza-Martin, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1255797973
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9358595 Issued in FL
Practice address
7101 W Flagler St
Miami, FL 33144-2601
Phone
(786) 388-9696
Fax
(786) 388-9697
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9358595 FL Primary

Addresses

Primary practice location

7101 W Flagler St
Miami, FL 33144-2601

Mailing address

7101 W Flagler St
Miami, FL 33144-2601
Phone (786) 388-9696

Other identifiers 1

IdentifierTypeStateIssuer
017228700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180420001945 FL Practitioner - Nurse Practitioner 7315200557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

7101 W Flagler St
Miami, FL 33144-2601
Phone (786) 388-9696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9358595FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interamerican Medical Center Group LLC Current Accepting new patients
Claremedica Viking LLC CurrentSince Feb 3, 2025 Accepting new patients
Interamerican Medical Center Group LLC Past Accepting new patients
Orlando C. Moreno, M.D. P.a. PastSince Oct 14, 2023 Accepting new patients
Senior Medical Associates LLC Past Accepting new patients

Locations

27455 S Dixie Hwy
Unit 1
Homestead, FL 33032
Phone (305) 245-3247

7101 W Flagler St
Miami, FL 33144
Phone (786) 388-9596

1000 NW 57th Ct
Ste 400
Miami, FL 33126

15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737

15105 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 455-2737

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1255797973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442601",
            "telephone_number": "786-388-9696",
            "fax_number": "786-388-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442601",
            "telephone_number": "786-388-9696",
            "fax_number": "786-388-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA-MARTIN",
        "first_name": "MAILEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9358595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017228700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.