Active NPI
Rolando C Mendizabal MD PA
- Specialist
- Miami, FL
National Provider Identifier
1568580983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME26739
- Legal business name
- ROLANDO C MENDIZABAL MD PA
- Practice address
- 1295 NW 14TH St
Suite I
Miami, FL 33125-1610 - Phone
- (305) 325-4541
- Fax
- (305) 324-5327
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rolando Cesar Mendizabal, M.D.
- Title
- President
- Phone
- (305) 325-4541
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME26739 | FL | Primary |
Addresses
Primary practice location
1295 NW 14TH St
Suite I
Miami, FL 33125-1610
Mailing address
1295 NW 14TH St
Suite I
Miami, FL 33125-1610
Phone (305) 325-4541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035560700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1295 NW 14th St
Ste I
Miami, FL 33125
Phone (305) 325-4541
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Miami, FL
- NPI 1023007119
-
- Internal Medicine Physician
- Miami, FL
- NPI 1588693477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279238400000",
"number": "1568580983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 NW 14TH ST",
"address_2": "SUITE I",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251610",
"telephone_number": "305-325-4541",
"fax_number": "305-324-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 NW 14TH ST",
"address_2": "SUITE I",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251610",
"telephone_number": "305-325-4541",
"fax_number": "305-324-5327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROLANDO C MENDIZABAL MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2010-07-16",
"status": "A",
"authorized_official_last_name": "MENDIZABAL",
"authorized_official_first_name": "ROLANDO",
"authorized_official_middle_name": "CESAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-325-4541",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME26739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035560700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.