Individual
MAYARA DE LOURDES TORRES RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
457 NW 57TH AVE APT 30N, MIAMI, FL 33126-4848
(786) 519-9802
Mailing address
457 NW 57TH AVE APT 30N, MIAMI, FL 33126-4848
(786) 519-9802
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
20230220120815
WA
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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