Individual provider Active NPI

Juan Manuel Mena Cuba

  • Psychiatric/Mental Health Nurse Practitioner
  • Florida City, FL
National Provider Identifier
1376348375
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11037140 Issued in FL
Practice address
542 NW 11TH Ave
Florida City, FL 33034-3457
Phone
(786) 604-1583
NPI assigned
Feb 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11037140 FL Primary

Addresses

Primary practice location

542 NW 11TH Ave
Florida City, FL 33034-3457

Mailing address

542 NW 11TH Ave
Florida City, FL 33034-3457
Phone (786) 604-1583

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
I20250320001943 FL Practitioner - Nurse Practitioner 7517489438 Practice locations: Florida City, FL

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1376348375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 NW 11TH AVE",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343457",
            "telephone_number": "786-604-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 NW 11TH AVE",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343457",
            "telephone_number": "786-604-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA CUBA",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11037140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

Verify at the official NPI Registry.