| Mendoza Medical Center Corp | |
|
14324 Sw 264th St Unit 400 Homestead FL 33032-7446 | |
| (305) 562-9824 | |
| Not Available |
| Full Name | Mendoza Medical Center Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 14324 Sw 264th St Unit 400, Homestead, Florida |
| Authorized Official Name and Position | Yusleidys L Velazquez (PRESIDENT) |
| Authorized Official Contact | 3055629824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendoza Medical Center Corp 14324 Sw 264th St Unit 400 Homestead FL 33032-7446 Ph: (786) 650-2843 | Mendoza Medical Center Corp 14324 Sw 264th St Unit 400 Homestead FL 33032-7446 Ph: (305) 562-9824 |
| NPI Number | 1720804263 |
|---|---|
| Provider Enumeration Date | 11/30/2024 |
| Last Update Date | 02/20/2025 |
| Medicare PECOS PAC ID | 2365962172 |
|---|---|
| Medicare Enrollment ID | O20250224003596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720804263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Orlando C Moreno |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003874454 PECOS PAC ID: 5991779688 Enrollment ID: I20040819000982 |
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