Individual
DR. MARIA E. FERNANDEZ TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ULTIMATE MEDICAL CENTER & SPA. LLC., 12700 SW 128TH STREET, SUITE 205, MIAMI, FL 33186-5378
(305) 278-7579
(305) 278-7589
Mailing address
13500 SW 88TH ST STE 175, MIAMI, FL 33186-1528
(305) 387-0081
(305) 387-0053
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME137016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083354
PTAN
PR
01
—
9372
MEDICAL LICENCE
PR
01
—
ME137016
MEDICAL LICENSE
FL
Enumeration date
08/14/2006
Last updated
08/03/2020
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