Maydelis Mesa Mendez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9111530 Issued in FL

Practice address

3410 W 84TH St Ste 110
Hialeah, FL 33018-4906

Phone

(305) 558-3571

NPI assigned

Sep 7, 2018

Last updated

Sep 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wayne H Case MD PA

  dba Family Medical Centre

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1609813310
  Medicare reassignment
• Family Medical Centre

  • Family Medicine Physician
  • Doral, FL
  • NPI 1316371636
  NPD (past)
• Wayne H Case MD PA

  dba Family Medical Centre

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1992812994
  NPD (past)

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1730662552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4256 SW 129TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754018",
            "telephone_number": "786-597-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 W 84TH ST STE 110",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184906",
            "telephone_number": "305-558-3571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3470 NW 82nd Ave Ste 118",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331221026",
            "country_code": "US",
            "telephone_number": "305-398-1991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17933 NW 7th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330292812",
            "country_code": "US",
            "telephone_number": "954-436-1927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESA MENDEZ",
        "first_name": "MAYDELIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Mesa Belon
• Yari Mesa Davila
• Maria Fernanda Mesa Gonzalez
• Kleyvis Mesa John, LMT
• Fidel Mesa Martinez
• Gretchen Mesa Sanchez, RBT
• Anisleidys Mesa Valdes
• Alexander Mesa
• Ana Maria Mesa
• Arlain Mesa, MASSAGE THERAPIST

• Physician Assistant in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.