MEDICARE: M & M PEDIATRICS P.A.

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
1	208000000X	Pediatrics Physician	ME66599	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1336519693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M & M PEDIATRICS P.A.

Provider Business Mailing Address
First Line	:	18503 PINES BLVD STE 212
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-1405
Country	:	US
Telephone Number	:	954-392-0266
Fax Number	:	954-392-0267

Provider Business Practice Location Address
First Line	:	18503 PINES BLVD STE 212
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-1405
Country	:	US
Telephone Number	:	954-392-0266
Fax Number	:	954-392-0267

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	DR. MARTHA MAYORGA VASQUEZ
Credential	:	M.D.
Telephone Number	:	954-392-0266

Provider Enumeration Date	:	09/30/2015
Last Update Date	:	09/30/2015

Similar Medicare Providers

1467383372 — VICTORIA MOLINA DMD
Practice Location Address:

18503 PINES BLVD STE 208
PEMBROKE PINES, FL
33029-1405

Practice Phone: 954-499-0033
Practice Fax:

1376530196 — MARTHA L MAYORGA-VASQUEZ MD
Practice Location Address:

18503 PINES BLVD STE 212
PEMBROKE PINES, FL
33029-1405

Practice Phone: 954-392-0266
Practice Fax: 954-392-0267

1962563395 — HELEN MARGARET SALSBURY M.D,
Practice Location Address:

18503 PINES BLVD STE 211
PEMBROKE PINES, FL
33029-1405

Practice Phone: 954-436-2867
Practice Fax: 954-442-5167

1205064334 — CALEB JOSEPH KENNEDY O.D.
Practice Location Address:

18503 PINES BLVD STE 205
PEMBROKE PINES, FL
33029-1405

Practice Phone: 954-430-8330
Practice Fax: 954-430-3638

1104167345 — KENNEDY VISION PA
Practice Location Address:

18503 PINES BLVD STE 205
PEMBROKE PINES, FL
33029-1405

Practice Phone: 954-430-8330
Practice Fax: 954-430-3638

1063952372 — GABRIELA MOLINA DDS
Practice Location Address:

18503 PINES BLVD STE 208
PEMBROKE PINES, FL
33029-1405

Practice Phone: 954-499-0033
Practice Fax: 954-499-0355

Directions to “M & M PEDIATRICS P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.