Provider Demographics
| NPI: | 1275870305 |
|---|---|
| Name: | MENENDEZ-PLANTADA, MICHELINE M (RRT-NPS) |
| Entity Type: | Individual |
| Prefix: | |
| First Name: | MICHELINE |
| Middle Name: | M |
| Last Name: | MENENDEZ-PLANTADA |
| Suffix: | |
| Gender: | F |
| Credentials: | RRT-NPS |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 16350 SW 77TH TER |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MIAMI |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33193-3449 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 954-243-6613 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 16350 SW 77TH TER |
| Practice Address - Street 2: | |
| Practice Address - City: | MIAMI |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33193-3449 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 954-243-6613 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2013-01-09 |
| Last Update Date: | 2023-09-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| FL | RT6644 | 2278P4000X, 227900000X, 2279C0205X, 2279E0002X, 2279G0305X, 2279H0200X, 2279P3900X, 2279E1000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 2279E1000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Educational |
| No | 2278P4000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Patient Transport |
| No | 227900000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | |
| No | 2279C0205X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Critical Care |
| No | 2279E0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Emergency Care |
| No | 2279G0305X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Geriatric Care |
| No | 2279H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Home Health |
| No | 2279P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Neonatal/Pediatrics |
