MAYRA M. MIRO


Address: 11401 Sw 40th St, Suite 207, Miami, FL 33165-3372
Phone: 3058079119

MAYRA M. MIRO (NPI# 1093890527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093890527
Entity Type Individual
Full Name MAYRA M. MIRO
Credential PSY.D.
Practice Address 11401 Sw 40th St
Suite 207
Miami
FL 33165-3372
Mailing Address 20 Sidonia Ave
Apt. 3
Coral Gables
FL 33134-3438
Practice Telephone 3058079119
Practice Fax Number 3054459045
Mailing Telephone 3058079119
Mailing Fax Number 3054459045
Enumeration Date 2006-10-25
Last Update Date 2012-11-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY 7369 FL Behavioral Health & Social Service Providers

Office Location

Street Address 11401 SW 40TH ST
SUITE 207
City MIAMI
State FL
Zip Code 33165-3372

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1821534629 Maria I. Alpizar Behavior Technician 11401 Sw 40th St, 309, Miami, FL 33165-3372 2017-01-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881292159 Rosalyn Viaros Student in an Organized Health Care Education/Training Program 5220 Sw 115th Ave., Miami, FL 33165 2020-10-09
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1942766670 Daniel Luis Hernandez Nurse Practitioner 10250 Sw 56 St Suit D-103, Miami, FL 33165 2019-02-19
1124583695 Meliza Mercedes Perea Nurse Practitioner 3850 Sw 87th Ave Ste 205, Miami, FL 33165 2019-02-08
1629551700 Jorge L Hernandez Nurse Practitioner 8710 Sw 41 Terrace, Miami, FL 33165 2018-09-13
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1831681253 Tali Yuz Berliner Psychologist 2225 Ne 204th St, Miami, FL 33180-1311 2018-06-01
1033614441 Miriam J Rodriguez, LLC Psychologist 2730 Sw 3rd Ave Ste 301, Miami, FL 33129-2323 2018-03-27
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Competitor

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City MIAMI
Zip Code 33165

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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