Organization Active NPI

Marcus Distributors Corp

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1013422153
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Dec 12, 2017

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.