Active NPI
Lucas Miguel Mendoza, MD (HOUSE PHYSICIAN)
- Hospitalist Physician
- Miami, FL
National Provider Identifier
1699078972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- HSE281
- Practice address
- Jackson South Medical Center
9333 W 152 St
Miami, FL 33157 - Phone
- (305) 251-2500
- Fax
- (305) 256-2213
- NPI assigned
- Dec 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | HSE281 | FL | Primary |
Addresses
Primary practice location
Jackson South Medical Center
9333 W 152 St
Miami, FL 33157
Mailing address
10317 W 33 LN
Hialeah, FL 33018
Phone (786) 338-3828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 701 | Other | NC | NATIONAL SURGICAL ASSISTANTS ASSOCIATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HSE281 | FL | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1699078972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10317 W 33 LN",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33018",
"telephone_number": "786-338-3828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JACKSON SOUTH MEDICAL CENTER",
"address_2": "9333 W 152 ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "33157",
"telephone_number": "305-251-2500",
"fax_number": "305-256-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "LUCAS",
"middle_name": "MIGUEL",
"credential": "MD (HOUSE PHYSICIAN)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-08",
"last_updated": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "HSE281",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL SURGICAL ASSISTANTS ASSOCIATION",
"identifier": "701",
"state": "NC"
}
],
"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 Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.