Massiel R. Mena, M.D.HSE

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

HSE41308 Issued in FL

Practice address

1330 Budinger Ave
Saint Cloud, FL 34769-4137

Phone

(407) 891-2010

Fax

(407) 891-8211

NPI assigned

Jan 15, 2015

Last updated

Nov 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Precision Surgicenter of Saint Cloud

  • Ambulatory Surgical Clinic/Center
  • Saint Cloud, FL
  • NPI 1720660806
  Authorized official Same address or phone

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1508255415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 ASHLEY CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347435346",
            "telephone_number": "407-552-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694137",
            "telephone_number": "407-891-2010",
            "fax_number": "407-891-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA",
        "first_name": "MASSIEL",
        "middle_name": "R.",
        "credential": "M.D.HSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "HSE41308",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ZZ",
            "license": "480-05",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denisse Medina
• Tanya M Medina, MD
• Medwound Solutions, LLC
• Carla Joan Melendez Vega, RN, BSN
• Carolina Meluk Jaramillo
• Andrea Daniela Mendoza Hidalgo
• Georgina Lorine Mendoza
• Kimberly Mendoza
• Luis Alejandro Menendez Carrion
• Patricia Eugenia Mera Velasco

• Ophthalmology Physician in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.