Organization Active NPI

Sergio Menendez-Aponte,MD,PA

  • Clinic/Center
  • Winter Park, FL
National Provider Identifier
1780952143
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME0048035 Issued in FL
Legal business name
SERGIO MENENDEZ-APONTE,MD,PA
Practice address
120 Benmore Dr
Winter Park, FL 32792-4101
Phone
(407) 645-5998
Fax
(407) 645-3301
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Sergio Luis Menendez-Aponte, M.D.NPI 1609897305
Title
President
Phone
(407) 645-5998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME0048035 FL Primary

Addresses

Primary practice location

120 Benmore Dr
Winter Park, FL 32792-4101

Mailing address

120 Benmore Dr
Winter Park, FL 32792-4101
Phone (407) 645-5998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050314000080 FL Part B Supplier - Clinic/Group Practice 7315992336 Receives reassigned benefits from 2 practitioners
Practice locations: Winter Park, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0948493Sergio Menendez120 Benmore Drive, Winter Park, FL 32792Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory

Locations

120 Benmore Dr
Winter Park, FL 32792
Phone (407) 645-5998

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": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1780952143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BENMORE DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924101",
            "telephone_number": "407-645-5998",
            "fax_number": "407-645-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BENMORE DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924101",
            "telephone_number": "407-645-5998",
            "fax_number": "407-645-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO MENENDEZ-APONTE,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ-APONTE",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-645-5998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME0048035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.