Active NPI
Maria L Menendez
- Contractor
- Miami, FL
National Provider Identifier
1831105709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 332B00000X
- Practice address
- 7511 NW 73Rd St
# 104
Miami, FL 33166-2403 - Phone
- (305) 889-0310
- Fax
- (305) 889-1168
- NPI assigned
- Jul 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 332B00000X | FL | Primary |
Addresses
Primary practice location
7511 NW 73Rd St
# 104
Miami, FL 33166-2403
Mailing address
7511 NW 73Rd St
# 104
Miami, FL 33166-2403
Phone (305) 889-0310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9510311000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332B00000X | FL | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krystal Medical Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Miami, FL
- NPI 1962681221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831105709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7511 NW 73RD ST",
"address_2": "# 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331662403",
"telephone_number": "305-889-0310",
"fax_number": "305-889-1168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7511 NW 73RD ST",
"address_2": "# 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331662403",
"telephone_number": "305-889-0310",
"fax_number": "305-889-1168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENENDEZ",
"first_name": "MARIA",
"middle_name": "L",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "332B00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9510311000",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.