Jose L Rivera Mendez
Emergency Physician General Practice Physician
1600 S Andrews Ave
Fort Lauderdale
, Florida 33316-2510
Jose L Rivera Mendez
Emergency Physician General Practice Physician
1600 S Andrews Ave
Fort Lauderdale
, Florida 33316-2510
(919) 425-0478
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About
Specialties
- Emergency Physician
- General Practice Physician
Languages spoken
- English
Location
First Address
- Jose L Rivera Mendez
- 1600 S Andrews Ave
- Fort Lauderdale, FL
- Zip : 33316-2510
- Fax : (919) 425-0478
- Phone : (954) 355-4400
Second Address
- Jose L Rivera Mendez
- 1600 S Andrews Ave
- Fort Lauderdale, FL
- Zip : 33316-2510
- Fax : (919) 425-0478
- Phone : (954) 355-4400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 117768 | FL |
| N | 207P00000X | Emergency Physician | 17951 | PR |
| N | 208D00000X | General Practice Physician | 17951 | PR |
National Provider Identifier
| NPI | 1992999437 |
|---|---|
| Provider Name | Jose L Rivera Mendez |
| First Address | Fort Lauderdale, FL 33316-2510 |
| Second Address | Fort Lauderdale, FL 33316-2510 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2007 |
| Last Update Date | 25/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.