Individual provider Active NPI

Ibrahim Menendez Perez, M.D

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1346624954
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME124889 Issued in FL
Practice address
2001 NW 7TH St
Miami, FL 33125
Phone
(305) 644-2123
NPI assigned
Jul 13, 2015
Last updated
Dec 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME124889 FL Primary

Addresses

Primary practice location

2001 NW 7TH St
Miami, FL 33125

Mailing address

9233 Emerson Ave
Surfside, FL 33154-3033
Phone (939) 332-8801

Other identifiers 1

IdentifierTypeStateIssuer
015357100MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906001871 FL Practitioner - Family Practice 0749596393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2172 NE 123Rd St
North Miami, FL 33181-2902
Phone (786) 542-5140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Horizontes Medical Center LLC Family Medicine CurrentSince Oct 9, 2022 Accepting new patients
La Colonia Medical Center Inc CurrentSince Jan 9, 2019 Accepting new patients
Menendez & Family Corp Family Medicine CurrentSince Jan 20, 2021 Accepting new patients
La Colonia Medical Center Inc CurrentSince Jan 9, 2019 Accepting new patients
B&H Health Services Inc Family Medicine PastSince Jan 1, 2021 Accepting new patients
Brainhealth MD LLC PastSince Jun 1, 2024 Accepting new patients

Locations

167 W 23rd St
Hialeah, FL 33010
Phone (305) 889-3111

2001 NW 7th St
Miami, FL 33125
Phone (305) 541-8800

564 NE 125th St
North Miami, FL 33161
Phone (786) 542-1000

2172 NE 123rd St
North Miami, FL 33181
Phone (786) 542-5140

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1346624954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9233 EMERSON AVE",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331543033",
            "telephone_number": "939-332-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "305-644-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ PEREZ",
        "first_name": "IBRAHIM",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME124889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015357100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.