Organization Active NPI

Rolando J Menendez MD PA

  • Family Medicine Physician
  • Leesburg, FL
National Provider Identifier
1851608053
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0063570 Issued in FL
Legal business name
ROLANDO J MENENDEZ MD PA
Practice address
733 N 3Rd St
Leesburg, FL 34748-4441
Phone
(352) 365-2221
Fax
(352) 365-2227
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Pamela J Beck
Title
Office Manager
Phone
(352) 787-4235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0063570 FL Primary

Addresses

Primary practice location

733 N 3Rd St
Leesburg, FL 34748-4441

Mailing address

733 N 3Rd St
Leesburg, FL 34748-4441
Phone (352) 365-2221

National Provider Directory

National Provider Directory

Locations

733 N 3rd St
Leesburg, FL 34748
Phone (352) 365-2221

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1851608053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N 3RD ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484441",
            "telephone_number": "352-365-2221",
            "fax_number": "352-365-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N 3RD ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484441",
            "telephone_number": "352-365-2221",
            "fax_number": "352-365-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLANDO J MENENDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-787-4235"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0063570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.