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NPI Code Detail

MEDICARE: DR. ALBERTO A MAYA M.D.

MEDICARE: DR. ALBERTO A MAYA M.D.
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
1207L00000XAnesthesiology Physician40469-020WI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00093152OTHERRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518941947
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALBERTO A MAYA M.D.
Provider Business Mailing Address
First Line : W180N8045 TOWN HALL RD
Second Line : DEPARTMENT OF ANESTHESIOLOGY
City : MENOMONEE FALLS
State : WI
Zip : 53051-3518
Country : US
Telephone Number : 262-250-0950
Fax Number : 262-250-0955
Provider Business Practice Location Address
First Line : W180N8045 TOWN HALL RD
Second Line : DEPARTMENT OF ANESTHESIOLOGY
City : MENOMONEE FALLS
State : WI
Zip : 53051-3518
Country : US
Telephone Number : 262-250-0950
Fax Number : 262-250-0955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 02/20/2017

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Directions to “ DR. ALBERTO A MAYA M.D.” Practice Location

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