Martha L Mayorga-Vasquez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME66599 Issued in FL

Practice address

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

Phone

(954) 392-0266

Fax

(954) 392-0267

NPI assigned

Oct 6, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saltzman, Tanis, Pittell, Levin and Jacobson

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1376530196",
    "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": {
        "last_name": "MAYORGA-VASQUEZ",
        "first_name": "MARTHA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "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": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmpeds@ppdxdirect.com",
            "affiliation": "N",
            "address_1": "18503 Pines Blvd Ste 212",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330291405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah N May
• Tiffany Tanea Maye, PT, DPT
• Nicole Mayer
• David Mayo, M.D.
• Reyving Mayora, LMT
• MC Quality Support, Inc
• Sean Donovan McCall, D.M.D.
• Sara McClelland, M.S.
• Tamika McClendon
• Yvette McConnell, M.A., BCBA

• 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 Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.