Individual
IVIS MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15621 SW 21ST TER, MIAMI, FL 33185-5871
(786) 868-6826
Mailing address
15621 SW 21ST TER, MIAMI, FL 33185-5871
(786) 868-6826
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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