Iluminada Canlas Mendoza, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3201 W Commercial Blvd
Suite 116
Fort Lauderdale, FL 33309-3440

Phone

(954) 332-4445

NPI assigned

Oct 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Iluminada Pangilinan Canlas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Medpro

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1033353339
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1508045089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 NORTH RIDGE ROAD EXECUTIVE CENTER II",
            "address_2": "SUITE 290",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433655",
            "telephone_number": "410-750-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD",
            "address_2": "SUITE 116",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093440",
            "telephone_number": "954-332-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ILUMINADA",
        "middle_name": "CANLAS",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILUMINADA",
            "last_name": "CANLAS",
            "middle_name": "PANGILINAN",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eliana Erica Danielle Mendez
• Jean Mendolia, M.S,RDN
• Adriana M Mendonca, PT
• Josiane Mendonca
• Alejandro Mendoza, MD
• Jessenia V Mendoza
• Melizza M Mendoza, RDN, LD
• Yasmin R Mendoza, LMHC
• Damodara Rao Mendu, PHD
• Cem Menekse, DMD

• Physical Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.