Organization Active NPI

Mayre Urdaneta MD PA

  • Specialist
  • Miami Lakes, FL
National Provider Identifier
1336445394
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME73691 Issued in FL
Legal business name
MAYRE URDANETA MD PA
Practice address
8060 NW 155TH St
Suite 201
Miami Lakes, FL 33016-5883
Phone
(305) 826-0606
Fax
(305) 826-0630
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mayre Urdaneta, MD
Title
President
Phone
(305) 826-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME73691 FL Primary

Addresses

Primary practice location

8060 NW 155TH St
Suite 201
Miami Lakes, FL 33016-5883

Mailing address

8060 NW 155TH St
Suite 201
Miami Lakes, FL 33016-5883
Phone (305) 826-0606

National Provider Directory

National Provider Directory
Tax ID family
Mayre Urdaneta MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1336445394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 NW 155TH ST",
            "address_2": "SUITE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165883",
            "telephone_number": "305-826-0606",
            "fax_number": "305-826-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 NW 155TH ST",
            "address_2": "SUITE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165883",
            "telephone_number": "305-826-0606",
            "fax_number": "305-826-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYRE URDANETA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "URDANETA",
        "authorized_official_first_name": "MAYRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-826-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME73691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.