Healthcare Provider Details

I. General information

NPI: 1811833262
Provider Name (Legal Business Name): HAYDEE MENENDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10826 N KENDALL DR APT T4
MIAMI FL
33176-1337
US

IV. Provider business mailing address

10826 N KENDALL DR APT T4
MIAMI FL
33176-1337
US

V. Phone/Fax

Practice location:
  • Phone: 786-525-4806
  • Fax:
Mailing address:
  • Phone: 786-525-4806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number366420
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: