Organization Active NPI

Luis Mendez-Mulet MD PA

  • Infectious Disease Physician
  • Miami, FL
National Provider Identifier
1649200536
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0083610 Issued in FL
Legal business name
LUIS MENDEZ-MULET MD PA
Practice address
9240 SW 72ND St Ste 241
Miami, FL 33173-3265
Phone
(305) 271-1905
Fax
(305) 271-1911
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Luis Mendez-Mulet, MDNPI 1740210632
Title
President
Phone
(305) 271-1919

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME0083610 FL Primary

Addresses

Primary practice location

9240 SW 72ND St Ste 241
Miami, FL 33173-3265

Mailing address

PO Box 561023
Miami, FL 33256-1023
Phone (305) 271-1919

Other identifiers 3

IdentifierTypeStateIssuer
265133500MedicaidFL
AI586OtherFLMEDICARE PTAN
47943OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080403000453 FL Part B Supplier - Clinic/Group Practice 2860578499 Receives reassigned benefits from 4 practitioners
Practice locations: Miami, FL; Coral Gables, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 7

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1649200536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561023",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332561023",
            "telephone_number": "305-271-1919",
            "fax_number": "305-271-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 SW 72ND ST STE 241",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733265",
            "telephone_number": "305-271-1905",
            "fax_number": "305-271-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS MENDEZ-MULET MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "MENDEZ-MULET",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-271-1919",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0083610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265133500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AI586",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47943",
            "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 Aug 26, 2008; 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.