MENDOZA MEDICAL CENTER CORP
NPI 1720804263
Family Medicine - Adult Medicine in Homestead, FL

Active since November 30, 2024CLIA 10D2317999 · Waiver
14324 SW 264TH ST UNIT 400, HOMESTEAD, FL 33032(305) 562-9824 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2025, Feb 11, 2025, Feb 5, 2025 and 1 more (4 updates tracked since 2024).

About Mendoza Medical Center Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENDOZA MEDICAL CENTER CORP (NPI 1720804263) is a healthcare organization registered as an adult medicine in Homestead, Florida and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Yusleidys L Velazquez, President, as its authorized official.

NPPES Registry Identity

NPI1720804263
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameMENDOZA MEDICAL CENTER CORP
Location Address14324 SW 264TH ST UNIT 400Homestead, FL 33032-7446
Mailing Address14324 Sw 264th St Unit 400Homestead, FL 33032-7446 · (786) 650-2843 · Fax (786) 650-2796
Organization SubpartNo
Authorized OfficialYusleidys L VelazquezPresident · (305) 562-9824
Enumeration DateNovember 30, 2024
Last NPPES UpdateFebruary 20, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
NPI 1720804263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
14324 SW 264TH ST UNIT 400, Homestead, FL 33032

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2317999

Mendoza Medical Center Corp · Homestead, FL
Active · expires Feb 3, 2027
CLIA Number10D2317999
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorAlfonso Alfonso
Laboratory Phone(786) 650-2843
Laboratory LocationMendoza Medical Center Corp14324 SW 264 St, Unit 400, Homestead, FL 33032
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preventive Medicine (Public Health & General Preventive Medicine)
14324 SW 264TH ST UNIT 400
HOMESTEAD, FL 33032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mendoza Medical Center Corp's NPI number?

The NPI number for Mendoza Medical Center Corp is 1720804263. It was assigned to this organization in the NPPES registry on November 30, 2024.

Where is Mendoza Medical Center Corp located?

Mendoza Medical Center Corp is located at 14324 SW 264th St Unit 400, Homestead, FL 33032. The listed phone number is (305) 562-9824.

What is Mendoza Medical Center Corp's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Mendoza Medical Center Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2317999) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mendoza Medical Center Corp was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.