Organization
ANSELMO MANUEL MENDIVE, MD. PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YIN GARCIA (OFFICE MANAGER)
(305) 801-7030
Entity
Organization
Contact information
Practice address
4601 NW 199TH ST, SUITE E, MIAMI GARDENS, FL 33055-1508
(305) 801-7030
(305) 623-7044
Mailing address
4601 NW 199TH ST, SUITE E, MIAMI GARDENS, FL 33055-1508
(305) 801-7030
(305) 623-7044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME56412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048992100
—
FL
05
—
048992101
—
FL
Enumeration date
02/16/2007
Last updated
01/31/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us