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NPI Code Detail

MEDICARE: LUIS R GARCIA-MAYOL MD

MEDICARE:   LUIS R GARCIA-MAYOL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology PhysicianME0037831FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003816463
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS R GARCIA-MAYOL MD
Provider Business Mailing Address
First Line : 747 PONCE DE LEON BLVD
Second Line : SUITE 605
City : CORAL GABLES
State : FL
Zip : 33134-2049
Country : US
Telephone Number : 305-445-4535
Fax Number : 305-441-1879
Provider Business Practice Location Address
First Line : 747 PONCE DE LEON BLVD
Second Line : SUITE 605
City : CORAL GABLES
State : FL
Zip : 33134-2049
Country : US
Telephone Number : 305-445-4535
Fax Number : 305-441-1879
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 10/21/2019

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Directions to “ LUIS R GARCIA-MAYOL MD” Practice Location

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