QUERUBIN P MENDOZA MD PA NPI 1215914148

NPI Information

NPI: 1215914148
Provider Name: QUERUBIN P MENDOZA MD PA

Doing Business As: TAMPA BAY CARDIOVASCULAR CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
5101 N HABANA AVE
TAMPA, FL
ZIP 33614
Phone: (813) 248-2700
Get Directions

QUERUBIN P MENDOZA MD PA is a cardiovascular disease internal medicine in Tampa, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. QUERUBIN P MENDOZA MD PA NPI is 1215914148. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tampa Bay Cardiovascular Center.

The provider's business location address is:

5101 N HABANA AVE
TAMPA, FL
ZIP 33614-818
Phone: (813) 248-2700
Fax: (813) 248-2722

The provider's authorized official is Querubin Mendoza .
The authorized official title is Owner/md and has the following contact phone number (813) 248-2700.

The enumeration date for this NPI number is 12/30/2005 and was last updated on 7/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207UN0901X	Nuclear Medicine	Nuclear Cardiology	ME74240	FLORIDA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	ME74240	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14363001	OTHER	FLORIDA	CITRUS HEALTH
2	274844400	MEDICAID	FLORIDA
3	218908590	OTHER	FLORIDA	TRICARE
4	22661	OTHER	FLORIDA	AVMED
5	2504898	OTHER	FLORIDA	UNITED HEALTHCARE
6	0118255	OTHER	FLORIDA	GHI
7	1018644	OTHER	FLORIDA	CAREPLUS
8	K9344	MEDICARE PIN	FLORIDA
9	002620688002	OTHER	FLORIDA	UNITED HEALTHCARE
10	DE6354	OTHER	FLORIDA	RAILROAD MEDICARE
11	2250675	OTHER	FLORIDA	CIGNA
12	1210679	OTHER	FLORIDA	AETNA
13	176468283681	OTHER	FLORIDA	HUMANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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