Provider Demographics
NPI:1851669816
Name:DUNAWAY-MAYRINK, MAXIMILIANO MARQUES (DO)
Entity type:Individual
Prefix:DR
First Name:MAXIMILIANO
Middle Name:MARQUES
Last Name:DUNAWAY-MAYRINK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 ALTON RD STE 920
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2890
Mailing Address - Country:US
Mailing Address - Phone:305-674-2655
Mailing Address - Fax:305-695-7668
Practice Address - Street 1:4302 ALTON RD STE 920
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2890
Practice Address - Country:US
Practice Address - Phone:305-674-2655
Practice Address - Fax:305-695-7668
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12996207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology