Marytery Fajardo
Child Neurologist Clinical Neurophysiologist
3200 Sw 60th Ct Ste 302
Miami
, Florida 33155-4071
Marytery Fajardo
Child Neurologist Clinical Neurophysiologist
3200 Sw 60th Ct Ste 302
Miami
, Florida 33155-4071
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About
Features
Specialties
- Child Neurologist
- Clinical Neurophysiologist
Languages spoken
- English
Location
First Address
- Marytery Fajardo
- 3200 Sw 60th Ct Ste 302
- Miami, FL
- Zip : 33155-4071
- Phone :
Second Address
- Marytery Fajardo
- 3200 Sw 60th Ct Ste 302
- Miami, FL
- Zip : 33155-4071
- Phone : (305) 662-8330
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Is Marytery Fajardo accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | 133163 | FL |
| N | 2084N0600X | Clinical Neurophysiologist | 133163 | FL |
National Provider Identifier
| NPI | 1083973572 |
|---|---|
| Provider Name | Marytery Fajardo |
| First Address | Miami, FL 33155-4071 |
| Second Address | Miami, FL 33155-4071 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2012 |
| Last Update Date | 24/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.