Individual provider Active NPI

Marcio Cesar Ferez Sr., MD

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1083627673
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME34354 Issued in FL
Practice address
777 E 25TH Street
Suite 206
Hialeah, FL 33013-3850
Phone
(305) 693-9250
Fax
(305) 696-0506
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME34354 FL Primary

Addresses

Primary practice location

777 E 25TH Street
Suite 206
Hialeah, FL 33013-3850

Mailing address

777 E 25TH Street
Suite 206
Hialeah, FL 33013-3850
Phone (305) 693-9250

Other identifiers 1

IdentifierTypeStateIssuer
039557900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1083627673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH STREET",
            "address_2": "SUITE 206",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133850",
            "telephone_number": "305-693-9250",
            "fax_number": "305-696-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH STREET",
            "address_2": "SUITE 206",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133850",
            "telephone_number": "305-693-9250",
            "fax_number": "305-696-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEREZ",
        "first_name": "MARCIO",
        "middle_name": "CESAR",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME34354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039557900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.