Organization Active NPI

Jesus B. Menendez-Rivera MD PA

  • Specialist
  • Miami, FL
National Provider Identifier
1740466226
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME84372 Issued in FL
Legal business name
JESUS B. MENENDEZ-RIVERA MD PA
Practice address
2267 SW 1St St
Miami, FL 33135-1512
Phone
(305) 337-2727
Fax
(305) 337-2728
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Jesus B Menendez, MD
Title
President
Phone
(305) 337-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME84372 FL Primary

Addresses

Primary practice location

2267 SW 1St St
Miami, FL 33135-1512

Mailing address

7290 SW 100TH St
Pinecrest, FL 33156-3121
Phone (305) 337-2727

Other identifiers 2

IdentifierTypeStateIssuer
E4637OtherFLMEDICARE
262153300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080215000344 FL Part B Supplier - Clinic/Group Practice 2264515154 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

2267 SW 1st St
Miami, FL 33135
Phone (305) 337-2727

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": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1740466226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 SW 100TH ST",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563121",
            "telephone_number": "305-337-2727",
            "fax_number": "305-337-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351512",
            "telephone_number": "305-337-2727",
            "fax_number": "305-337-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS B. MENENDEZ-RIVERA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-337-2727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME84372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "E4637",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262153300",
            "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 Mar 17, 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.