Organization Active NPI

Mendez J Medical Office PA

  • General Practice Physician
  • Miami Lakes, FL
National Provider Identifier
1932510484
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME103361 Issued in FL
Legal business name
MENDEZ J MEDICAL OFFICE PA
Practice address
16420 NW 59TH Ave
Miami Lakes, FL 33014-5602
Phone
(786) 325-9303
NPI assigned
May 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Lorely Mendez, M.D.
Title
President
Phone
(786) 615-2713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME103361 FL Primary

Addresses

Primary practice location

16420 NW 59TH Ave
Miami Lakes, FL 33014-5602

Mailing address

16420 NW 59TH Ave
Miami Lakes, FL 33014-5602
Phone (786) 325-9303

National Provider Directory

National Provider Directory

Locations

5941 NW 173rd Dr
#B6
Hialeah, FL 33015
Phone (786) 615-2713

16420 NW 59th Ave
Miami Lakes, FL 33014
Phone (786) 325-9303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1932510484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16420 NW 59TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330145602",
            "telephone_number": "786-325-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16420 NW 59TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330145602",
            "telephone_number": "786-325-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDEZ J MEDICAL OFFICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-17",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "LORELY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-615-2713",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME103361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.