# MADELIN MOYA BORROTO MD PA

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

## Provider details

- **NPI number:** 1710695309
- **Authorized official:** MADELIN MOYA BORROTO MD (DIRECTOR)
- **Authorized official phone:** (786) 309-0160

## Contact information

- **Practice address:** 3850 SW 87TH AVE STE 306, MIAMI, FL 33165-5474
- **Practice address phone:** (305) 608-0656
- **Practice address fax:** (786) 329-7430
- **Mailing address:** 15418 SW 31ST LN, MIAMI, FL 33185-5900
- **Mailing address phone:** (786) 309-0160
- **Mailing address fax:** (786) 329-7430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 11/11/2022
- **Last updated:** 11/11/2022