Rene N Mayorga M D P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME54068 Issued in FL

Legal business name

RENE N MAYORGA M D P A

Doing business as

Country Walk Family Medicine

Practice address

14261 SW 120TH St
Suite 110
Miami, FL 33186-7270

Phone

(305) 378-1302

Fax

(305) 378-1311

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rene N Mayorga, M.D.

Title

President

Phone

(305) 378-1302

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Country Walk Family Medicine Doing business as

Locations

Practitioners 1

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

• Renaldo Barrios, NP

  • Adult Health Nurse Practitioner
  • San Diego, CA
  • NPI 1609865740
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1659334670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14261 SW 120TH ST",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867270",
            "telephone_number": "305-378-1302",
            "fax_number": "305-378-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14261 SW 120TH ST",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867270",
            "telephone_number": "305-378-1302",
            "fax_number": "305-378-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE N MAYORGA M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "MAYORGA",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-378-1302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME54068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "14292",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PART",
            "identifier": "003349",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2132789",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGBORHOOD HEALTH",
            "identifier": "F00138402601",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061439400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08688",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "0170072",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "101635",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Walk Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rene E Rodriguez, DMD, PA (A&R Dental Centers)
• Rene J Garcia MD PA
• Rene J Gomez MD PA
• Rene L. Lopez-Guerrero, M.D., P.a.
• Daylin Rene Machado
• Rene Piedra DMD and Associates PA
• Gilda Rene-Davis
• Cathia Rene
• Phedorah Rene
• Denisha Reneau

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.