Organization Active NPI

Georgina R. Mijares Mdpa

  • Pediatric Adolescent Medicine Physician
  • Pasadena, MD
National Provider Identifier
1366240830
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
GEORGINA R. MIJARES MDPA
Practice address
8094 Edwin Raynor Blvd Ste B
Pasadena, MD 21122-6834
Phone
(410) 437-8894
Fax
(410) 437-6003
NPI assigned
Mar 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Dr. Georgina Ramos Mijares, MDNPI 1487730016
Title
Pediatrician
Phone
(410) 437-8894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

8094 Edwin Raynor Blvd Ste B
Pasadena, MD 21122-6834

Mailing address

8094 Edwin Raynor Blvd Ste B
Pasadena, MD 21122-6834
Phone (410) 437-8894

National Provider Directory

National Provider Directory

Locations

8094 Edwin Raynor Blvd
Ste B
Pasadena, MD 21122
Phone (410) 437-8894

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1366240830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8094 EDWIN RAYNOR BLVD STE B",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226834",
            "telephone_number": "410-437-8894",
            "fax_number": "410-437-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8094 EDWIN RAYNOR BLVD STE B",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226834",
            "telephone_number": "410-437-8894",
            "fax_number": "410-437-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGINA R. MIJARES MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "MIJARES",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_middle_name": "RAMOS",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "410-437-8894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.