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Individual

MAYRA DIANA MEJIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10300 SW 216TH STREET, MIAMI, FL 33190
(305) 252-5899
Mailing address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 253-5100

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
342468
NY
2084P0800X
Psychiatry Physician
Primary
ME169636
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
342468
NYS LICENSE
NY
01
ME169636
STATE LICENSE
FL
Enumeration date
03/28/2022
Last updated
04/28/2026
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