Organization Active NPI

Flor Mayoral-Vega MD PA

  • Dermatology Physician
  • South Miami, FL
National Provider Identifier
1366557357
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
FLOR MAYORAL-VEGA MD PA
Practice address
6705 S Red Rd
Suite 314
South Miami, FL 33143-3622
Phone
(305) 665-6166
Fax
(305) 662-4649
NPI assigned
Aug 20, 2006
Last updated
Nov 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Flor Mayoral-Vega, MD
Title
Owner
Phone
(305) 665-6166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

6705 S Red Rd
Suite 314
South Miami, FL 33143-3622

Mailing address

6705 S Red Rd
Suite 314
South Miami, FL 33143-3622
Phone (305) 665-6166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000979 FL Part B Supplier - Clinic/Group Practice 7719888494 Receives reassigned benefits from 6 practitioners
Practice locations: South Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0925695Flor Mayoral MD PA6705 Red Rd Ste 314, Coral Gables, FL 33143ComplianceApr 20, 2027

National Provider Directory

National Provider Directory

Locations

6705 SW 57th Ave
Ste 314
South Miami, FL 33143
Phone (305) 665-6166

7300 SW 62nd Pl
Ph W
South Miami, FL 33143
Phone (305) 665-6166

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1366557357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 S RED RD",
            "address_2": "SUITE 314",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433622",
            "telephone_number": "305-665-6166",
            "fax_number": "305-662-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 S RED RD",
            "address_2": "SUITE 314",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433622",
            "telephone_number": "305-665-6166",
            "fax_number": "305-662-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOR MAYORAL-VEGA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "MAYORAL-VEGA",
        "authorized_official_first_name": "FLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-665-6166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.