Organization
LUIS MENDEZ-MULET MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS MENDEZ-MULET MD (PRESIDENT)
(305) 271-1919
Entity
Organization
Contact information
Practice address
9240 SW 72ND ST STE 241, MIAMI, FL 33173-3265
(305) 271-1905
(305) 271-1911
Mailing address
PO BOX 561023, MIAMI, FL 33256-1023
(305) 271-1919
(305) 271-1911
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0083610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265133500
—
FL
01
—
47943
BCBS
FL
01
—
AI586
MEDICARE PTAN
FL
Enumeration date
07/04/2006
Last updated
08/26/2008
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