Individual
JOSE MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, SUITE L105 (D460), MIAMI, FL 33136-1005
(305) 585-1320
(305) 585-1340
Mailing address
1611 NW 12TH AVE, P. O. BOX 016960 (D461), MIAMI, FL 33136-1005
(305) 585-1320
(305) 585-1340
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME 102021
FL
Other
Enumeration date
07/21/2007
Last updated
01/28/2013
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