Provider Demographics
NPI:1730187287
Name:MENDEZ, LUIS E (MD)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:E
Last Name:MENDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 UNIVERSITY DR
Mailing Address - Street 2:SUITE 3300
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2008
Mailing Address - Country:US
Mailing Address - Phone:305-663-7001
Mailing Address - Fax:305-663-7004
Practice Address - Street 1:5000 UNIVERSITY DR
Practice Address - Street 2:SUITE 3300
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2008
Practice Address - Country:US
Practice Address - Phone:305-663-7001
Practice Address - Fax:305-663-7004
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0069610207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1083764OtherFIRST HEALTH PROVIDER #
FL3405OtherTOTAL HLTH. CH. PROV. #
FL7799947OtherGHI PPO PROVIDER NUMBER
FL000021064-WOtherHUMANA PROVIDER NUMBER
FL196902OtherWELLCARE PROVIDER NUMBER
FL0520889-002OtherCIGNA PPO & HMO PROV. #
FL347762OtherUSA MNGD CR. PROVIDER #
FL44206OtherBCBS OF FL. PROVIDER #
FLG54533OtherVISTA PROVIDER NUMBER
FL38317OtherNEIGHBORHOOD PROV. #
FL221296OtherAVMED THRU PARITY PROV. #
FL255041500Medicaid
FL4348033OtherAETNA PROVIDER NUMBER
FL0520889-002OtherCIGNA PPO & HMO PROV. #
FL347762OtherUSA MNGD CR. PROVIDER #