My Virtual Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MY VIRTUAL CLINIC, LLC

Practice address

1890 S Ocean Dr Apt 1703
Hallandale Beach, FL 33009-7735

Phone

(786) 682-4084

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Jose Luis Rivera Mendez, MDNPI 1992999437

Title

Manager

Phone

(786) 682-4084

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose L Rivera Mendez, M.D.

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1992999437
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1730947698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 S OCEAN DR APT 1703",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097735",
            "telephone_number": "786-682-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S OCEAN DR APT 1703",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097735",
            "telephone_number": "786-682-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY VIRTUAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "RIVERA MENDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-682-4084",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Alberto Moya, MD
• Ngina Muigai, MD
• Ingrid Cristina Muller, DDS
• Leandro Murillo Cuartas
• Muscle Specific Pain Management Center
• Adam Nadler, LMHC
• Julia Namulawa, OTR/L, CLT
• Zenaida Napoles, RPH
• Narendren Narayanasamy, MD
• Lakhvinder Kaur Narula, M.D.

• Primary Care Clinic/Center in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.