Rolando a Mendoza, M.D., P.a.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0025811 Issued in FL

Legal business name

ROLANDO A MENDOZA, M.D., P.A.

Practice address

787 37TH St
Suite E-210
Vero Beach, FL 32960-7305

Phone

(772) 562-5232

Fax

(772) 562-0773

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Gemma I Mendoza, MD

Title

Vice President-Secretary

Phone

(772) 562-5232

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790824522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 37TH ST",
            "address_2": "SUITE E-210",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607305",
            "telephone_number": "772-562-5232",
            "fax_number": "772-562-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST",
            "address_2": "SUITE E-210",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607305",
            "telephone_number": "772-562-5232",
            "fax_number": "772-562-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLANDO A MENDOZA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "VICE PRESIDENT-SECRETARY",
        "authorized_official_telephone_number": "772-562-5232",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "0025811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.