Organization Active NPI

Mendoza Medical Center Corp

  • Adult Medicine Physician
  • Homestead, FL
National Provider Identifier
1720804263
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
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

Updated by the provider on Feb 20, 2025

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)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250224003596 FL Part B Supplier - Clinic/Group Practice 2365962172 Receives reassigned benefits from 2 practitioners
Practice locations: Homestead, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.