Garcia-Mayol, Luis R

Garcia-Mayol, Luis R is an sole proprietor health care provider with primary practice located at 747 Ponce De Leon Blvd Suite 605, Coral Gables FL 33134-2049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Garcia-Mayol, Luis R can be contacted via phone (305) 445-4535.

Contact Information

Primary practice address
747 Ponce De Leon Blvd Suite 605 Coral Gables FL 33134-2049
Fax: (305) 441-1879
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME0037831 Florida

Profile Details

NPI number 1003816463
LBN Legal business name Garcia-Mayol, Luis R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Oct 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003816463 NPPES
Florida MEDICAID 065186900

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