Active NPI
Jesus M Menendez, M.D.
- General Practice Physician
- Miami, FL
National Provider Identifier
1730104795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 59382
- Practice address
- 7800 Coral Way
Miami, FL 33155-6523 - Phone
- (305) 267-5253
- Fax
- (305) 267-4412
- NPI assigned
- Jul 12, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 59382 | FL | Primary |
Addresses
Primary practice location
7800 Coral Way
Miami, FL 33155-6523
Mailing address
7800 Coral Way
Miami, FL 33155-6523
Phone (305) 267-5253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052329100 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59382 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1730104795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 CORAL WAY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331556523",
"telephone_number": "305-267-5253",
"fax_number": "305-267-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 CORAL WAY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331556523",
"telephone_number": "305-267-5253",
"fax_number": "305-267-4412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENENDEZ",
"first_name": "JESUS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "59382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052329100",
"state": "FL"
}
],
"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 Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.