Individual provider Active NPI

Otto Marquez Mendoza, MD PA

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1679950695
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
122562 Issued in FL
Practice address
13801 SW 34TH St
Miami, FL 33175-7210
Phone
(305) 431-1376
Fax
(305) 470-1853
NPI assigned
Apr 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 122562 FL Primary

Addresses

Primary practice location

13801 SW 34TH St
Miami, FL 33175-7210

Mailing address

13801 SW 34TH St
Miami, FL 33175-7210
Phone (305) 431-1376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150924000581 FL Practitioner - Family Practice 2062720055 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13801 SW 34TH St
Miami, FL 33175-7210
Phone (305) 431-1376

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
122562FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc CurrentSince Aug 1, 2015 Accepting new patients
First Docs PC CurrentSince Jan 1, 2025 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Aug 1, 2015 Accepting new patients
Florida Post Acute Medical Services 1 PA CurrentSince Oct 2, 2023 Accepting new patients
Otto Marquez MD PA Family Medicine CurrentSince Jan 25, 2016 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Jul 1, 2019 Accepting new patients
Sunshine Community & Behavior Services Corp CurrentSince Mar 26, 2024 Accepting new patients
Radial Health Southeast LLC CurrentSince Jan 4, 2025 Accepting new patients
QMC LLC CurrentSince Apr 28, 2019 Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients

Locations (25 of 29)

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

190 W 28th St
Hialeah, FL 33010
Phone (305) 885-2437

777 E 25th St
Ste 312
Hialeah, FL 33013
Phone (305) 696-0133

1475 W 49th Pl
Hialeah, FL 33012
Phone (305) 204-9318

33550 S Dixie Hwy
Ste 106
Homestead, FL 33034
Phone (305) 431-1376

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

9820 SW 88th St
Miami, FL 33176
Phone (305) 271-6311

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

42 Collins Ave
#S
Miami Beach, FL 33139
Phone (305) 672-1771

5725 NW 186th St
Miami Gardens, FL 33015
Phone (305) 625-9587

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

4513 Executive Dr
Fl 2
Naples, FL 34119

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

12505 NE 16th Ave
North Miami, FL 33161
Phone (305) 891-1210

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

4411 N Habana Ave
Tampa, FL 33614
Phone (813) 872-2771

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1679950695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 SW 34TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757210",
            "telephone_number": "305-431-1376",
            "fax_number": "305-470-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 SW 34TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757210",
            "telephone_number": "305-431-1376",
            "fax_number": "305-470-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ MENDOZA",
        "first_name": "OTTO",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "122562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.