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Organization

JESUS B. MENENDEZ-RIVERA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESUS B MENENDEZ MD (PRESIDENT)
(305) 337-2727
Entity
Organization

Contact information

Practice address
2267 SW 1ST ST, MIAMI, FL 33135-1512
(305) 337-2727
(305) 337-2728
Mailing address
7290 SW 100TH ST, PINECREST, FL 33156-3121
(305) 337-2727
(305) 337-2728

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME84372
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262153300
FL
01
E4637
MEDICARE
FL
Enumeration date
01/15/2008
Last updated
03/17/2025
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