Samuel Mendez, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102845 Issued in FL

Practice address

1900 Glades Rd
Suite 100
Boca Raton, FL 33431-7378

Phone

(561) 416-1145

Fax

(561) 416-2292

NPI assigned

Apr 2, 2007

Last updated

Apr 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

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• Injury Treatment Center of South Florida Inc

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• Injury Treatment Center of West Palm Beach Inc

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• Neuro Massage Therapist, Inc.

  • Massage Therapist
  • Wilton Manors, FL
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  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1679694541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "address_2": "STE 200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357969",
            "telephone_number": "561-241-1971",
            "fax_number": "561-241-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GLADES RD",
            "address_2": "SUITE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317378",
            "telephone_number": "561-416-1145",
            "fax_number": "561-416-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "SAMUEL",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Harrisa Mendelsohn, MPH, RD, LD, CCN
• Elie Mendelson, D.P.M.
• Ashley Liriam Mendez
• Natasha Mendez, M.D.
• Nicole Mendez, FNP-BC
• Tahnee Isis Mendez, LMFT
• Angela Marie Mendoza, DPT
• German Antonio Mendoza, DMD
• Matthew Mendoza, MD, MPH
• Suny Mendoza, MA

• Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.