Organization Active NPI

Manuel S. Mendizabal, MD, LLC

Doing business as none

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1972994143
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME 0033414 Issued in FL
Legal business name
MANUEL S. MENDIZABAL, MD, LLC
Doing business as
none
Practice address
7090 SW 54TH St
Miami, FL 33155-5644
Phone
(305) 799-6234
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Manuel Suarez Mendizabal, M.D.
Title
Physician Owner
Phone
(305) 799-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME 0033414 FL Primary

Addresses

Primary practice location

7090 SW 54TH St
Miami, FL 33155-5644

Mailing address

7090 SW 54TH St
Miami, FL 33155-5644
Phone (305) 799-6234

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Manuel S Mendizabal MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1972994143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7090 SW 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555644",
            "telephone_number": "305-799-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7090 SW 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555644",
            "telephone_number": "305-799-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL S. MENDIZABAL, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "MENDIZABAL",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "SUAREZ",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "305-799-6234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 0033414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.