| Menendez & Family Corp | |
|
2172 Ne 123rd St North Miami FL 33181-2902 | |
| (786) 542-5140 | |
| Not Available |
| Full Name | Menendez & Family Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 2172 Ne 123rd St, North Miami, Florida |
| Authorized Official Name and Position | Ibrahim Menendez (AUTHORIZED OFFICAL) |
| Authorized Official Contact | 9393328801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Menendez & Family Corp 2172 Ne 123rd St North Miami FL 33181-2902 Ph: (786) 542-5140 | Menendez & Family Corp 2172 Ne 123rd St North Miami FL 33181-2902 Ph: (786) 542-5140 |
| NPI Number | 1548847304 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 03/26/2021 |
| Medicare PECOS PAC ID | 3072912948 |
|---|---|
| Medicare Enrollment ID | O20210525003372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548847304 | NPI | - | NPPES |
| LICENSE | Other | FL | ME124889 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ibrahim Menendez Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346624954 PECOS PAC ID: 0749596393 Enrollment ID: I20160906001871 |
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