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General NPI Number Information
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NPI Number | 1790998698
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Entity Type | Organization
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Legal Business Name | MAYORGA CARDIOLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9195 SW 72ND ST SUITE230
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City | MIAMI
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State | FL
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Zip | 33173-3488
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Country | US
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Telephone | 305-412-7225
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Fax | 305-412-7229
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Provider Business Mailing Address
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Address Line | 9195 SUNSET DR. SUITE230
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-412-7225
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Fax | 305-412-7229
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALVARO MAYORGA-CORTES
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Credential | MD
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Telephone | 305-412-7225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME22452
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License Number State | FL
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