Roger M Mayorga in Phoenix - Psychiatric/mental Health
Roger M Mayorga - NPI 1053491878
Roger M Mayorga is a Psychiatric/mental Health in Phoenix, Arizona. Roger M Mayorga practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Roger M Mayorga is 1053491878. The last update date is 2019-10-08.
Roger M Mayorga's current location address is 40 E Mitchell Dr, Phoenix, Arizona. You can contact this provider via phone number 6028085800 and fax number 6022487993. The mailing address for Roger M Mayorga is 40 E Mitchell Dr, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger M Mayorga |
|---|---|
| Address | 40 E Mitchell Dr, Phoenix, Arizona |
| Phone Number | 6028085800 |
| Fax Number | 6022487993 |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1053491878 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2019-10-08 |
Provider Mailing Address Detail
| Address | 40 E Mitchell Dr |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850122330 |
| Phone Number | 6028085800 |
| Fax Number | 6022487993 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | AP8136 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 269427 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Roger M Mayorga by the Centers for Medicare & Medicaid Services?
The Roger M Mayorga has been issued the NPI (National Provider Identifier) 1053491878, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Roger M Mayorga's facilities are geographically located?
The facilities of Roger M Mayorga are physically situated at the following location: 40 E Mitchell Dr, Phoenix, AZ, 850122330.
What is the Roger M Mayorga's specialty and taxonomy code?
The Roger M Mayorga's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053491878 to Roger M Mayorga?
The Roger M Mayorga received its 1053491878 assignment from the Centers for Medicare & Medicaid Services on 2006-10-16.
As of what date were the details related to Roger M Mayorga most recently updated or revised?
The information pertaining to Roger M Mayorga, including its address, specialty, and other relevant details, was last updated or revised on 2019-10-08.