David a. Mayorga, M.D.,P.a.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

L8428 Issued in TX

Legal business name

DAVID A. MAYORGA, M.D.,P.A.

Practice address

1022 E Griffin Pkwy Ste 201
Mission, TX 78572-2402

Phone

(956) 424-3052

Fax

(956) 424-3219

NPI assigned

Jul 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Alvaro Mayorga, M.D.NPI 1881743839

Title

President/Owner

Phone

(956) 424-3052

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• David Alvaro Mayorga, MD

  • Infectious Disease Physician
  • Mission, TX
  • NPI 1881743839
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1750646675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SAN CLEMENTE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727682",
            "telephone_number": "956-424-3052",
            "fax_number": "956-424-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 E GRIFFIN PKWY STE 201",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722402",
            "telephone_number": "956-424-3052",
            "fax_number": "956-424-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. MAYORGA, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "MAYORGA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALVARO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "956-424-3052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "L8428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162581602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8V4021",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Mission, TX
• Providers in Mission, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.