Dr. Luis Terry Menendez, M.D.
Dermatology in Tampa, FL. Individual provider (NPI-1).
NPI number1871536615
StatusActive
Last updated in NPPESOct 13, 2011
Details
- NPI
- 1871536615
- Entity type
- Individual (NPI-1)
- Name
- Dr. Luis Terry Menendez
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2006
- Last updated
- Oct 13, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DERMATOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 24434 | FL | Yes |
Practice location
3011 W Swann AveTampa, FL 33609-4059
Phone 813-879-8436 · Fax 813-878-2405
Mailing address
3011 W Swann AveTampa, FL 33609-4059
Phone 813-879-8436 · Fax 813-878-2405
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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