Provider Demographics
NPI: | 1275870305 |
---|---|
Name: | MENENDEZ-PLANTADA, MICHELINE M (RRT-NPS) |
Entity type: | Individual |
Prefix: | |
First Name: | MICHELINE |
Middle Name: | M |
Last Name: | MENENDEZ-PLANTADA |
Suffix: | |
Gender: | F |
Credentials: | RRT-NPS |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 16350 SW 77TH TER |
Mailing Address - Street 2: | |
Mailing Address - City: | MIAMI |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33193-3449 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 954-243-6613 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 16350 SW 77TH TER |
Practice Address - Street 2: | |
Practice Address - City: | MIAMI |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33193-3449 |
Practice Address - Country: | US |
Practice Address - Phone: | 954-243-6613 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2013-01-09 |
Last Update Date: | 2023-09-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | RT6644 | 2278P4000X, 227900000X, 2279C0205X, 2279E0002X, 2279G0305X, 2279H0200X, 2279P3900X, 2279E1000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2279E1000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Educational |
No | 2278P4000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Patient Transport |
No | 227900000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | |
No | 2279C0205X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Critical Care |
No | 2279E0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Emergency Care |
No | 2279G0305X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Geriatric Care |
No | 2279H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Home Health |
No | 2279P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Neonatal/Pediatrics |