Individual provider Active NPI

Roberto Marin, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1013482074
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9290365 Issued in FL
Practice address
1149 SW 27TH Ave Ste 201
Miami, FL 33135-4700
Phone
(052) 662-9293
NPI assigned
Oct 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9290365 FL Primary

Addresses

Primary practice location

1149 SW 27TH Ave Ste 201
Miami, FL 33135-4700

Mailing address

715 NW 129TH PL
Miami, FL 33182-2354
Phone (305) 336-9521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721000309 FL Practitioner - Nurse Practitioner 9931523263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians

Practice addresses (Care Compare)

701 N Federal Hwy
Suite 601
Hallandale Beach, FL 33009-2449
Phone (954) 482-4747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9290365FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Mar 4, 2024 Accepting new patients
Centrum Medical Holdings, LLC CurrentSince Feb 19, 2023 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Mar 4, 2024 Accepting new patients
Lung and Critical Care Specialists of South Florida CurrentSince Jan 6, 2026 Accepting new patients
Palazzo Mental Health LLC Past Accepting new patients

Locations

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

12905 SW 42nd St
Ste 213
Miami, FL 33175
Phone (305) 705-5651

1149 SW 27th Ave
Ste 201
Miami, FL 33135
Phone (305) 649-5306

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

5730 SW 74th St
Ste 200
South Miami, FL 33143

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1013482074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 NW 129TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822354",
            "telephone_number": "305-336-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 SW 27TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354700",
            "telephone_number": "052-662-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "ROBERTO",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-05",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9290365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.