Individual
MRS. MARIA L MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7511 NW 73RD ST, # 104, MIAMI, FL 33166-2403
(305) 889-0310
(305) 889-1168
Mailing address
7511 NW 73RD ST, # 104, MIAMI, FL 33166-2403
(305) 889-0310
(305) 889-1168
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
332B00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9510311000
—
FL
Enumeration date
07/31/2006
Last updated
07/08/2007
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