Organization
LUIS R. GARCIA-MAYOL, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS R GARCIA MAYOL MD (OWNER)
(305) 445-4535
Entity
Organization
Contact information
Practice address
747 PONCE DE LEON BLVD, SUITE 605, CORAL GABLES, FL 33134-2049
(305) 445-4535
(305) 441-1879
Mailing address
747 PONCE DE LEON BLVD, SUITE 605, CORAL GABLES, FL 33134-2049
(305) 445-4535
(305) 441-1879
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME0037831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065186900
—
FL
01
—
95648
BLUE CROSS/ BLUE SHIELD
—
Enumeration date
03/26/2007
Last updated
05/18/2011
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