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Mario Enrique Mayes-Romero

Hospitalist in Fort Pierce, FL. Individual provider (NPI-1).

NPI number1639565047
StatusActive
Last updated in NPPESSep 21, 2018

Details

NPI
1639565047
Entity type
Individual (NPI-1)
Name
Mario Enrique Mayes-Romero
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 13, 2015
Last updated
Sep 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X HospitalistME136525FLYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1700 S 23rd St
Fort Pierce, FL 34950

Phone 727-507-2519

Mailing address

1700 S 23rd St
Fort Pierce, FL 34950-4803

Phone 727-507-2519

Other practice locations

1700 S 23rd St
Fort Pierce, FL 34950

Phone 727-507-2519

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