Organization Active NPI

Menendez & Family Corp

  • Family Medicine Physician
  • North Miami, FL
National Provider Identifier
1548847304
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MENENDEZ & FAMILY CORP
Practice address
2172 NE 123Rd St
North Miami, FL 33181-2902
Phone
(786) 542-5140
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Mr. Ibrahim Menendez, MD
Title
Authorized Offical
Phone
(939) 332-8801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2172 NE 123Rd St
North Miami, FL 33181-2902

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
LICENSEOtherFLME124889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210525003372 FL Part B Supplier - Clinic/Group Practice 3072912948 Receives reassigned benefits from 1 practitioner
Practice locations: North Miami, FL

National Provider Directory

National Provider Directory

Locations

2172 NE 123rd St
Ste 1
North Miami, FL 33181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1548847304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812902",
            "telephone_number": "786-542-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812902",
            "telephone_number": "786-542-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENENDEZ & FAMILY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "939-332-8801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME124889",
            "identifier": "LICENSE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.