Active NPI
Marcus Distributors Corp
- General Practice Physician
- Miami, FL
National Provider Identifier
1013422153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MARCUS DISTRIBUTORS CORP
- Practice address
- 15160 SW 136TH St Unit 10
Miami, FL 33196-2664 - Phone
- (786) 718-4816
- NPI assigned
- Dec 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vladimir Casas
- Title
- President
- Phone
- (786) 718-4816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
15160 SW 136TH St Unit 10
Miami, FL 33196-2664
Mailing address
15160 SW 136TH St Unit 10
Miami, FL 33196-2664
Phone (786) 718-4816
National Provider Directory
National Provider Directory- Tax ID family
- Marcus Distributors Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Miami, FL
- NPI 1346767381
Locations
15160 SW 136th St
Unit 10
Miami, FL 33196
Phone (304) 373-3145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513036800000",
"number": "1013422153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15160 SW 136TH ST UNIT 10",
"city": "MIAMI",
"state": "FL",
"postal_code": "331962664",
"telephone_number": "786-718-4816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15160 SW 136TH ST UNIT 10",
"city": "MIAMI",
"state": "FL",
"postal_code": "331962664",
"telephone_number": "786-718-4816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCUS DISTRIBUTORS CORP",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-12",
"last_updated": "2017-12-12",
"status": "A",
"authorized_official_last_name": "CASAS",
"authorized_official_first_name": "VLADIMIR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-718-4816"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.