Active NPI
Enrique Mella Sr., MD
- Obstetrics & Gynecology Physician
- Miami, FL
National Provider Identifier
1316024482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME17229
- Practice address
- 3601 Federal Hwy
Miami, FL 33137-3795 - Phone
- (305) 576-6611
- Fax
- (305) 576-0008
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME17229 | FL | Primary |
Addresses
Primary practice location
3601 Federal Hwy
Miami, FL 33137-3795
Mailing address
3601 Federal Hwy
Miami, FL 33137-3795
Phone (305) 576-6611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376865100 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17229 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298073600000",
"number": "1316024482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 FEDERAL HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373795",
"telephone_number": "305-576-6611",
"fax_number": "305-576-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 FEDERAL HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373795",
"telephone_number": "305-576-6611",
"fax_number": "305-576-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLA",
"first_name": "ENRIQUE",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME17229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376865100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.