Organization Active NPI

Manuel S Mendizabal MD LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1629319819
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME33414 Issued in FL
Legal business name
MANUEL S MENDIZABAL MD LLC
Practice address
3661 S Miami Ave
Suite 710
Miami, FL 33133-4236
Phone
(305) 860-5407
Fax
(305) 854-6521
NPI assigned
Mar 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Eileen Suarez
Title
Billing Agent
Phone
(305) 251-3991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME33414 FL Primary

Addresses

Primary practice location

3661 S Miami Ave
Suite 710
Miami, FL 33133-4236

Mailing address

3661 S Miami Ave
Suite 710
Miami, FL 33133-4236
Phone (305) 860-5407

National Provider Directory

National Provider Directory
Tax ID family
Manuel S Mendizabal MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1629319819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "SUITE 710",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-860-5407",
            "fax_number": "305-854-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "SUITE 710",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-860-5407",
            "fax_number": "305-854-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL S MENDIZABAL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "305-251-3991"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME33414",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 19, 2013; 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.