Dr Guillermo Mendoza - Int Med - LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DR GUILLERMO MENDOZA - INT MED - LLC

Practice address

2572 W State Road 426 Ste 3040
Oviedo, FL 32765-8389

Phone

(407) 890-9748

Fax

(407) 890-9819

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Guillermo Alfredo Mendoza Fonseca, MDNPI 1285898288

Title

President

Phone

(407) 890-9748

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Guillermo Alfredo Mendoza Fonseca, M.D.

  • General Practice Physician
  • Oviedo, FL
  • NPI 1285898288
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1932686003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2572 W STATE ROAD 426 STE 3040",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658389",
            "telephone_number": "407-890-9748",
            "fax_number": "407-890-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 W STATE ROAD 426 STE 3040",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658389",
            "telephone_number": "407-890-9748",
            "fax_number": "407-890-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GUILLERMO MENDOZA - INT MED - LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "MENDOZA FONSECA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "ALFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-890-9748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dorleans, RBT
• Doublet Peak Emergency Physicians LLC
• William H Douglas
• Deandhra Kristine Downs, LMHC
• Dr Eric Janowitz PA (Oviedo Family Chiropractic)
• Dr John Tran & Associates PLLC (The Eye Avenue)
• Dr Paul B Schmid L L C
• Francina Dubose, MASTER'S DEGREE
• Jonathan David Duckett
• Patricia Duda, LMHC

• General Practice Physician in Oviedo, FL
• Providers in Oviedo, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.