Jorge Luis Mayorga, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA11099 Issued in FL

Practice address

9863 SW 184TH St
Palmetto Bay, FL 33157-6934

Phone

(305) 252-6454

NPI assigned

Mar 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1417256454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10633 HAMMOCKS BLVD",
            "address_2": "APT 1028",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964719",
            "telephone_number": "786-360-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9863 SW 184TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576934",
            "telephone_number": "305-252-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYORGA",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA11099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Maureen Maton, M.D.
• Osvaldo Matos Ross
• Xiomara Francesca Matos
• Kelsey Elizabeth Mauldin, DC
• Fernanda C Maxey
• Madison Kaitlyn McCollum
• Brittney McCoy
• Samantha Eleanor McCullough, MT-BC
• Lisa Rivero McDaniel, LCSW
• Ursula G McGrady

• Occupational Therapy Assistant in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.