RENE N MAYORGA M D P A NPI 1659334670

NPI Information

NPI: 1659334670
Provider Name: RENE N MAYORGA M D P A

Doing Business As: COUNTRY WALK FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
14261 SW 120TH ST
SUITE 110
MIAMI, FL
ZIP 33186
Phone: (305) 378-1302
Get Directions

RENE N MAYORGA M D P A is a family medicine in Miami, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RENE N MAYORGA M D P A NPI is 1659334670. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Country Walk Family Medicine.

The provider's business location address is:

14261 SW 120TH ST
SUITE 110
MIAMI, FL
ZIP 33186-270
Phone: (305) 378-1302
Fax: (305) 378-1311

The provider's authorized official is Rene N Mayorga .
The authorized official title is President and has the following contact phone number (305) 378-1302.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 11/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		ME54068	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0170072	OTHER	FLORIDA	UNITED
2	=========	OTHER	FLORIDA	CIGNA
3	K0900	MEDICARE PIN	FLORIDA
4	08688	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
5	003349	OTHER	FLORIDA	NEIGHBORHOOD HEALTH PART
6	=========	OTHER	FLORIDA	TRICARE REG 3 & 4
7	14292	OTHER	FLORIDA	VISTA
8	F00138402601	OTHER	FLORIDA	NEIGBORHOOD HEALTH
9	=========	OTHER	FLORIDA	HUMANA
10	2132789	OTHER	FLORIDA	AETNA
11	08688	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
12	061439400	MEDICAID	FLORIDA
13	101635	OTHER	FLORIDA	AVMED
14	=========	OTHER	FLORIDA	GHI
15	E31277	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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