Active NPI
Mayra Lorenzo M.D PA
- Internal Medicine Physician
- Largo, FL
National Provider Identifier
1780828186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME59120
- Legal business name
- MAYRA LORENZO M.D PA
- Practice address
- 12150 Seminole Blvd
Largo, FL 33778-2833 - Phone
- (727) 216-6188
- Fax
- (727) 216-6243
- NPI assigned
- Apr 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mayra L Lorenzo, M.D
- Title
- Physcian/Owner
- Phone
- (727) 216-6188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME59120 | FL | Primary |
Addresses
Primary practice location
12150 Seminole Blvd
Largo, FL 33778-2833
Mailing address
12150 Seminole Blvd
Largo, FL 33778-2833
Phone (727) 216-6188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447251061 | Other | FL | NPI TYPE 1 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392422400000",
"number": "1780828186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12150 SEMINOLE BLVD",
"city": "LARGO",
"state": "FL",
"postal_code": "337782833",
"telephone_number": "727-216-6188",
"fax_number": "727-216-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12150 SEMINOLE BLVD",
"city": "LARGO",
"state": "FL",
"postal_code": "337782833",
"telephone_number": "727-216-6188",
"fax_number": "727-216-6243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYRA LORENZO M.D PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-29",
"last_updated": "2014-02-15",
"status": "A",
"authorized_official_last_name": "LORENZO",
"authorized_official_first_name": "MAYRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSCIAN/OWNER",
"authorized_official_telephone_number": "727-216-6188",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME59120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1447251061",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.