| Dr. Mayra Burguera, Psy.d., P.a. | |
|
1110 Brickell Ave Ste 407 Miami FL 33131 | |
| (786) 558-4526 | |
| Not Available |
| Full Name | Dr. Mayra Burguera, Psy.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 1110 Brickell Ave Ste 407, Miami, Florida |
| Authorized Official Name and Position | Mayra Burguera (OWNER) |
| Authorized Official Contact | 3054396556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mayra Burguera, Psy.d., P.a. 1110 Brickell Ave Ste 407 Miami FL 33131-3135 Ph: (786) 558-4526 | Dr. Mayra Burguera, Psy.d., P.a. 1110 Brickell Ave Ste 407 Miami FL 33131 Ph: (786) 558-4526 |
| NPI Number | 1477093888 |
|---|---|
| Provider Enumeration Date | 03/03/2017 |
| Last Update Date | 11/15/2019 |
| Medicare PECOS PAC ID | 5991065732 |
|---|---|
| Medicare Enrollment ID | O20180215002849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477093888 | NPI | - | NPPES |
| 1659891992 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 9769 (Florida) | Primary |
| Provider Name | Mayra Burguera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659891992 PECOS PAC ID: 5597037481 Enrollment ID: I20180222001246 |
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