NPIMap

Organization Active NPI

Mlo Renaissance Medical Center Corp

  • Clinic/Center
  • Key Largo, FL
National Provider Identifier
1740922822
Registry record updated Apr 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MLO RENAISSANCE MEDICAL CENTER CORP
Practice address
103400 Overseas Hwy Ste 240
Key Largo, FL 33037-2849
Phone
(786) 337-3708
NPI assigned
Apr 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2022

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

Authorized official

Name
Mailyn Lopez Olivera
Title
Owner
Phone
(786) 337-3708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

103400 Overseas Hwy Ste 240
Key Largo, FL 33037-2849

Mailing address

103400 Overseas Hwy Ste 240
Key Largo, FL 33037-2849
Phone (786) 337-3708

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649548800000",
    "number": "1740922822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103400 OVERSEAS HWY STE 240",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372849",
            "telephone_number": "786-337-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103400 OVERSEAS HWY STE 240",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372849",
            "telephone_number": "786-337-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLO RENAISSANCE MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A",
        "authorized_official_last_name": "LOPEZ OLIVERA",
        "authorized_official_first_name": "MAILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-337-3708"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; 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.