M & M Pediatrics P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME66599 Issued in FL

Legal business name

M & M PEDIATRICS P.A.

Practice address

18503 Pines Blvd Ste 212
Pembroke Pines, FL 33029-1405

Phone

(954) 392-0266

Fax

(954) 392-0267

NPI assigned

Sep 30, 2015

Last updated

Sep 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Martha Mayorga Vasquez, M.D.NPI 1376530196

Title

Doctor/Owner

Phone

(954) 392-0266

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martha L Mayorga-Vasquez, MD

  • Pediatrics Physician
  • Pembroke Pines, FL
  • NPI 1376530196
  NPD (past) Authorized official

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1336519693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD STE 212",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291405",
            "telephone_number": "954-392-0266",
            "fax_number": "954-392-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD STE 212",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291405",
            "telephone_number": "954-392-0266",
            "fax_number": "954-392-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M PEDIATRICS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "MAYORGA VASQUEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "954-392-0266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME66599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258309700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Robyn Krystle Lyn, PSY.D., BCBA
• Bryanna Monique Lynn, DPT
• M Cowan & Associates DDS PA (Dental Specialty Center of Pembroke Pines)
• M.a.D. for You Inc (Making A Difference For You, Inc)
• M.H.C. Services, LLC
• Steven Ma, D.O.
• Anilu Macedo

• Pediatrics Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.