Individual
DR. HERIBERTO MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3133 JEMIMA AVE, THE VILLAGES, FL 32163-2329
(352) 203-4935
Mailing address
3133 JEMIMA AVE, THE VILLAGES, FL 32163-2329
(352) 203-4935
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35092986
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2949966
—
OH
Enumeration date
08/13/2006
Last updated
02/12/2016
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