Anselmo Manuel Mendive, Md. Pa.

LBN: Anselmo Manuel Mendive, Md. Pa.
Anselmo Manuel Mendive, Md. Pa. is an health care organization with primary practice located at 4601 Nw 199Th St Suite E, Miami Gardens FL 33055-1508. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Anselmo Manuel Mendive, Md. Pa. can be contacted via phone (305) 801-7030, or through Garcia, Yin via phone (305) 801-7030.

Contact Information

Primary practice address
4601 Nw 199Th St Suite E Miami Gardens FL 33055-1508
Phone: (305) 801-7030
Fax: (305) 623-7044
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Yin
Phone: (305) 801-7030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME56412 Florida

Profile Details

NPI number 1619011228
LBN Legal business name Anselmo Manuel Mendive, Md. Pa.
DBA Doing business as
Authorized official Garcia, Yin
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Jan 31st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619011228 NPPES
Florida MEDICAID 048992100
Florida MEDICAID 048992101

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