# MENDOZA MEDICAL CENTER CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720804263
- **Authorized official:** YUSLEIDYS L VELAZQUEZ (PRESIDENT)
- **Authorized official phone:** (305) 562-9824

## Contact information

- **Practice address:** 14324 SW 264TH ST UNIT 400, HOMESTEAD, FL 33032-7446
- **Practice address phone:** (305) 562-9824
- **Mailing address:** 14324 SW 264TH ST UNIT 400, HOMESTEAD, FL 33032-7446
- **Mailing address phone:** (786) 650-2843
- **Mailing address fax:** (786) 650-2796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/30/2024
- **Last updated:** 02/20/2025