# MAYRE URDANETA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447545702
- **Authorized official:** DR. MAYRE URDANETA MD (MEDICAL DOCTOR)
- **Authorized official phone:** (305) 826-0606

## Contact information

- **Practice address:** 8060 NORTH WEST 155 STREET, SUITE 201, MIAMI LAKES, FL 33016
- **Practice address phone:** (305) 826-0606
- **Practice address fax:** (305) 826-0630
- **Mailing address:** 8060 NORTH WEST 155 STREET, SUITE 201, MIAMI LAKES, FL 33016
- **Mailing address phone:** (305) 826-0606
- **Mailing address fax:** (305) 826-0630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2011
- **Last updated:** 06/15/2011