Mayorga-Vasquez, Martha L
Mayorga-Vasquez, Martha L is an sole proprietor health care provider with primary practice located at 18503 Pines Blvd Ste 212 , Pembroke Pines FL 33029-1405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mayorga-Vasquez, Martha L can be contacted via phone (954) 392-0266.Contact Information
Primary practice address
18503 Pines Blvd Ste 212
Pembroke Pines FL 33029-1405
Phone: (954) 392-0266
Fax: (954) 392-0267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME66599 | Florida |
Profile Details
| NPI number | 1376530196 |
|---|---|
| LBN Legal business name | Mayorga-Vasquez, Martha L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Mar 26th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376530196 | NPPES |
| Florida | MEDICAID | 258309700 |
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