Organization
DR. MAYRA BURGUERA, PSY.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA BURGUERA PSY.D. (OWNER)
(305) 439-6556
Entity
Organization
Contact information
Practice address
1110 BRICKELL AVE STE 407, MIAMI, FL 33131
(786) 558-4526
Mailing address
1110 BRICKELL AVE STE 407, MIAMI, FL 33131-3135
(786) 558-4526
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 9769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659891992
NPI
FL
Enumeration date
03/03/2017
Last updated
11/15/2019
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