Organization Active NPI

Maytin & Uria MD PA

  • Cardiovascular Disease Physician
  • Sunrise, FL
National Provider Identifier
1518070069
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MAYTIN & URIA MD PA
Practice address
4300 N University Dr
Suite B107
Sunrise, FL 33351-6249
Phone
(954) 746-6900
Fax
(954) 746-8710
NPI assigned
Aug 17, 2006
Last updated
Sep 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Orlando Maytin
Title
President
Phone
(954) 746-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

4300 N University Dr
Suite B107
Sunrise, FL 33351-6249

Mailing address

4300 N University Dr
Suite B107
Sunrise, FL 33351-6249
Phone (954) 746-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091006000351 FL Part B Supplier - Clinic/Group Practice 7911043955 Receives reassigned benefits from 1 practitioner
Practice locations: Sunrise, FL; Tamarac, FL; Plantation, FL; Margate, FL; Lauderdale Lakes, FL; Coral Springs, 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
10D1019866Maytin and Uria MD PA4300 N University Dr Ste B107, Lauderhill, FL 33351Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory

Locations

4300 N University Dr
Ste B107
Lauderhill, FL 33351
Phone (954) 746-6900

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1518070069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR",
            "address_2": "SUITE B107",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516249",
            "telephone_number": "954-746-6900",
            "fax_number": "954-746-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR",
            "address_2": "SUITE B107",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516249",
            "telephone_number": "954-746-6900",
            "fax_number": "954-746-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYTIN & URIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "MAYTIN",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-746-6900"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.