Gabriela Mendoza

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

19042 NW 91St CT
Hialeah, FL 33018-8418

Phone

(305) 206-3726

NPI assigned

Mar 10, 2014

Last updated

Mar 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Gama Rehab Services, Inc

  • Early Intervention Provider Agency
  • Miami Lakes, FL
  • NPI 1104358266
  NPD (past)

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1811313224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19042 NW 91ST CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330188418",
            "telephone_number": "305-206-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19042 NW 91ST CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330188418",
            "telephone_number": "305-206-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "GABRIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI2266",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA3536",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Bosco Mendoza Loor, MD
• Keila Mendoza Rodriguez
• Diana Ivis Mendoza Valdivia
• Oscar M Mendoza-Calix, MD
• Desiree Mendoza
• Reynaldo Mendoza
• William Mendoza
• Zoraida Mendoza, COTA/L
• Mendro Pharmacy Inc
• Yanisley Menendez Bormey

• Early Intervention Provider Agency in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.