Organization · Type 2 NPI

Mendoza Medical Center Corp

Adult Medicine Physician · Homestead, FL

NPI number 1720804263 Active

Practice location

14324 SW 264th St Unit 400
Homestead, FL 33032-7446

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed
Primary Care Clinic/Center 261QP2300XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1720804263

Mendoza Medical Center Corp's National Provider Identifier is 1720804263, issued on Nov 30, 2024. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Homestead, FL. The record was last updated on Feb 20, 2025.