Individual provider Active NPI

Yirka Marin

  • Family Nurse Practitioner
  • West Miami, FL
National Provider Identifier
1073018248
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9373390 Issued in FL
Practice address
6400 SW 8TH St
West Miami, FL 33144-4814
Phone
(305) 587-2747
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 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 9373390 FL Primary

Addresses

Primary practice location

6400 SW 8TH St
West Miami, FL 33144-4814

Mailing address

860 NW 42ND Ave
FL 5
Miami, FL 33126
Phone (305) 504-7885

Other practice location 1

16201 SW 95th Ave
Miami, FL 33157-3459
Phone (305) 946-1605

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
I20180904001904 FL Practitioner - Nurse Practitioner 6103176680 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9373390FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel D Gonzalez MD PA CurrentSince Apr 24, 2018 Accepting new patients
Wedo Medical Center Corp CurrentSince Jul 1, 2023 Accepting new patients

Locations

2141 NW 7th St
Miami, FL 33125
Phone (305) 642-2345

2215 NW 36th St
Miami, FL 33142
Phone (786) 502-3857

Interoperability endpoints

  • Direct secure messaging: yirka.marin.1@24158.direct.athenahealth.com

Organizations & group practices 2

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1073018248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE",
            "address_2": "FL 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-504-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SW 8TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331444814",
            "telephone_number": "305-587-2747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16201 SW 95th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331573459",
            "country_code": "US",
            "telephone_number": "305-946-1605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIN",
        "first_name": "YIRKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9373390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

Verify at the official NPI Registry.