Dermatology Consultants PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY CONSULTANTS PA

Practice address

12600 Pembroke Rd Ste 310
Miramar, FL 33027-2544

Phone

(954) 431-7681

Fax

(954) 431-7682

NPI assigned

Mar 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jose E Mendez, DONPI 1033101175

Title

Practice Owner

Phone

(954) 431-7681

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose E Mendez, DO

  • Dermatology Physician
  • Miramar, FL
  • NPI 1033101175
  Medicare reassignment Care Compare group NPD Authorized official
• Harib H Ezaldein, M.D.

  • MOHS-Micrographic Surgery Physician
  • Miami, FL
  • NPI 1689037962

  Dermatology

  Medicare reassignment Care Compare group NPD
• Lauren Kelsey Rangel, MD

  • Dermatology Physician
  • Hialeah, FL
  • NPI 1922684679
  Medicare reassignment Care Compare group NPD
• Veronica Rivera

  • Nurse Practitioner
  • Miramar, FL
  • NPI 1932634664
  Medicare reassignment Care Compare group NPD
• Francisco Flores, M.D.

  • Dermatology Physician
  • Miramar, FL
  • NPI 1114914934
  Medicare reassignment NPD
• Matt Louis Leavitt, DO

  • Dermatology Physician
  • Maitland, FL
  • NPI 1821108341
  NPD (past)

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1689815904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 PEMBROKE RD STE 310",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272544",
            "telephone_number": "954-431-7681",
            "fax_number": "954-431-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 PEMBROKE RD STE 310",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272544",
            "telephone_number": "954-431-7681",
            "fax_number": "954-431-7682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7150 W 20th Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330165531",
            "country_code": "US",
            "telephone_number": "305-828-7504",
            "fax_number": "305-828-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERMATOLOGY CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "954-431-7681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022844800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dentalmed Associates, LLC
• Rachel Nellie Depuy, MD
• Dequata LLC
• Dermagenesis Medspa, Inc.
• Dermasurgeons PA
• Dermatology Group of Florida PA
• Ruth-Anne Desauguste, RPH
• Youseline Deshommes, RRT
• Dorothy Desir, AGNP-BC
• Naomi Pamela Desir, RN, BSN

• Dermatology Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.