Mundial Medical Clinic LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MUNDIAL MEDICAL CLINIC LLC

Practice address

6450 38TH Ave N Ste 300
St Petersburg, FL 33710-1649

Phone

(727) 300-1845

NPI assigned

Sep 16, 2019

Last updated

Jan 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Veronica Perez

Title

Office Manager

Phone

(727) 300-1845

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Humberto Perez, M.D

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1215130943

  Geriatric Medicine

  NPD

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1891345419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 HAMLIN BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337761046",
            "telephone_number": "813-842-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 38TH AVE N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101649",
            "telephone_number": "727-300-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNDIAL MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-300-1845"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Zuie Lan Mullin, RN
• Danah Lynn Mulqueen, BCBA
• Multi-Health Purpose Rehab
• Abenezer Kibru Mulugeta, MD
• Joanne Frances Mumbey, RDN
• Padmanabha Raju Mungara, MD
• Vanessa I Muniz, PA-C
• Shawntae N Munn, APRN
• Carlos Jose Munoz, M.D.
• Munroe Wellness

• Geriatric Medicine (Internal Medicine) Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.