Luis T Menendez MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

24434 Issued in FL

Legal business name

LUIS T MENENDEZ MD PA

Practice address

3011 W Swann Ave
Tampa, FL 33609-4059

Phone

(813) 879-8436

Fax

(813) 878-2405

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Luis Terry Menendez, M.D.NPI 1871536615

Title

President

Phone

(813) 879-8436

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Luis Terry Menendez, M.D.

  • Dermatology Physician
  • Tampa, FL
  • NPI 1871536615
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1952331860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094059",
            "telephone_number": "813-879-8436",
            "fax_number": "813-878-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094059",
            "telephone_number": "813-879-8436",
            "fax_number": "813-878-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS T MENENDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-879-8436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "24434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D0290339",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3211253",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406073185",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204969400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yadiana Luis Calzada
• Luis E. Kortright M.D.
• Luis G Counseling LLC
• Luis J Lopez MD PA
• Luis Nunez MD PA
• Cheryl Luis, PHD
• Luisa Gomez McElroy MD PL
• Mikayla Mary Luise, PA-C
• Jorge Lujan-Zilbermann, M.D.
• Crystal Brooke Lukacz

• Dermatology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.