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General NPI Number Information
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NPI Number | 1114855970
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Entity Type | Organization
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Legal Business Name | MYA HEALTH CORP
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 420 S DIXIE HWY STE 4E
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City | CORAL GABLES
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State | FL
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Zip | 33146-2232
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Country | US
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Telephone | 754-201-5336
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Fax | 786-206-7010
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Provider Business Mailing Address
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Address Line | 13499 BISCAYNE BLVD APT 1702
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2031
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Country | US
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Telephone | 754-201-5336
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Fax | 786-206-7010
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN CERA LOPEZ
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Credential |
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Telephone | 754-201-5336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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