Provider Demographics
NPI:1790742922
Name:MENDEZ, ANGEL F (MD)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:F
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 1:5980 SW 82ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-8126
Mailing Address - Country:US
Mailing Address - Phone:305-643-0303
Mailing Address - Fax:
Practice Address - Street 1:8200 SW 117TH AVE STE 210
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4825
Practice Address - Country:US
Practice Address - Phone:305-670-4424
Practice Address - Fax:305-670-4434
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0056484207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2755661-01Medicaid
FLE66902Medicare UPIN
FL2755661-01Medicaid