Provider Demographics
NPI:1922202712
Name:AMAYA, MARIA DEL ROSARIO (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DEL ROSARIO
Last Name:AMAYA
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4651 CHARLOTTE PARK DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-1956
Mailing Address - Country:US
Mailing Address - Phone:704-936-5577
Mailing Address - Fax:704-323-7931
Practice Address - Street 1:901 ROUND ROCK AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4514
Practice Address - Country:US
Practice Address - Phone:512-779-9452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2014-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA02870363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant