| Mayra M Miro, Inc. | |
|
11401 Sw 40th St Miami FL 33165-3372 | |
| (305) 807-9119 | |
| (305) 445-9045 |
| Full Name | Mayra M Miro, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 11401 Sw 40th St, Miami, Florida |
| Authorized Official Name and Position | Mayra M Miro (OWNER) |
| Authorized Official Contact | 3058079119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayra M Miro, Inc. 11401 Sw 40th St Miami FL 33165-3372 Ph: (305) 807-9119 | Mayra M Miro, Inc. 11401 Sw 40th St Miami FL 33165-3372 Ph: (305) 807-9119 |
| NPI Number | 1306190657 |
|---|---|
| Provider Enumeration Date | 11/07/2012 |
| Last Update Date | 11/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306190657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7369 (Florida) | Primary |
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