Provider Demographics
NPI:1942486527
Name:MAYORGA, ALEJANDRA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRA
Middle Name:MARIA
Last Name:MAYORGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11550
Mailing Address - Street 2:APT. 1214
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33101-1550
Mailing Address - Country:US
Mailing Address - Phone:305-674-2680
Mailing Address - Fax:305-674-3919
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1059
Practice Address - Country:US
Practice Address - Phone:404-712-4583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA594642085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology