Provider Demographics
NPI:1205272119
Name:MAYA RESEARCH CENTER INC
Entity type:Organization
Organization Name:MAYA RESEARCH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALMAGUER GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-715-8937
Mailing Address - Street 1:14100 PALMETTO FRNTG RD STE 110
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1568
Mailing Address - Country:US
Mailing Address - Phone:305-558-9344
Mailing Address - Fax:305-558-9341
Practice Address - Street 1:14100 PALMETTO FRNTG RD STE 110
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1568
Practice Address - Country:US
Practice Address - Phone:305-558-9344
Practice Address - Fax:305-558-9341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-18
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10D2048675OtherCLIA