Provider Demographics
NPI:1073344529
Name:ALVARO MAYA DMD PA
Entity type:Organization
Organization Name:ALVARO MAYA DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST.OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-453-9105
Mailing Address - Street 1:103400 OVERSEAS HWY STE 234
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-2849
Mailing Address - Country:US
Mailing Address - Phone:305-453-9105
Mailing Address - Fax:
Practice Address - Street 1:103400 OVERSEAS HWY STE 234
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-2849
Practice Address - Country:US
Practice Address - Phone:305-453-9105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty