Active NPI
Mendoza Medical Center Corp
- Adult Medicine Physician
- Homestead, FL
National Provider Identifier
1720804263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- MENDOZA MEDICAL CENTER CORP
- Practice address
- 14324 SW 264TH St Unit 400
Homestead, FL 33032-7446 - Phone
- (305) 562-9824
- NPI assigned
- Nov 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yusleidys L Velazquez
- Title
- President
- Phone
- (305) 562-9824
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
14324 SW 264TH St Unit 400
Homestead, FL 33032-7446
Mailing address
14324 SW 264TH St Unit 400
Homestead, FL 33032-7446
Phone (786) 650-2843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14324 SW 264th St
Unit 400
Homestead, FL 33032
Phone (305) 562-9824
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Public Health & General Preventive Medicine Physician
- Homestead, FL
- NPI 1811289572
-
- Adult Medicine Physician
- Hialeah, FL
- NPI 1003874454
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1861964322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740009600000",
"number": "1720804263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14324 SW 264TH ST UNIT 400",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330327446",
"telephone_number": "786-650-2843",
"fax_number": "786-650-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14324 SW 264TH ST UNIT 400",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330327446",
"telephone_number": "305-562-9824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENDOZA MEDICAL CENTER CORP",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-30",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A",
"authorized_official_last_name": "VELAZQUEZ",
"authorized_official_first_name": "YUSLEIDYS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-562-9824"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.