Organization
MENDOZA MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSLEIDYS L VELAZQUEZ (PRESIDENT)
(305) 562-9824
Entity
Organization
Contact information
Practice address
14324 SW 264TH ST UNIT 400, HOMESTEAD, FL 33032-7446
(305) 562-9824
Mailing address
14324 SW 264TH ST UNIT 400, HOMESTEAD, FL 33032-7446
(786) 650-2843
(786) 650-2796
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/30/2024
Last updated
02/20/2025
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