Individual provider Active NPI

Marcelino Andres Galzagorri

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1124640867
Registry record updated May 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004014 Issued in FL
Practice address
5180 NW 2ND Ter
Miami, FL 33126-5008
Phone
(786) 474-5392
NPI assigned
May 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2020

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 APRN11004014 FL Primary

Addresses

Primary practice location

5180 NW 2ND Ter
Miami, FL 33126-5008

Mailing address

5180 NW 2ND Ter
Miami, FL 33126-5008
Phone (786) 474-5392

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
I20211209001088 FL Practitioner - Nurse Practitioner 7315337151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medicus Medical Group PLLCGroup PAC ID 1254610611, 3 clinicians
Luis S Veras MD PAGroup PAC ID 0941496475, 2 clinicians

Practice addresses (Care Compare)

1355 NW 7TH St
Suite 101
Miami, FL 33125-3734
Phone (786) 321-8555

335 SW 12TH Ave
Miami, FL 33130-2011
Phone (305) 545-6695

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

Hospital & facility affiliations

  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11004014FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Key Biscayne Medical Center Inc CurrentSince Sep 1, 2021 Accepting new patients
Florida Geriatrics Associates, Inc CurrentSince Sep 1, 2021 Accepting new patients
Medicus Medical Group PLLC CurrentSince Sep 1, 2021 Accepting new patients
Luis S Veras MD PA CurrentSince Sep 1, 2021 Accepting new patients

Locations

747 Ponce de Leon Blvd
Ste 606
Coral Gables, FL 33134
Phone (305) 444-7770

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

3661 S Miami Ave
Ste 510
Miami, FL 33133
Phone (305) 285-2272

335 SW 12th Ave
Miami, FL 33130
Phone (305) 545-6695

3901 NW 7th St
Miami, FL 33126
Phone (305) 854-1133

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1124640867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 NW 2ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265008",
            "telephone_number": "786-474-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 NW 2ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265008",
            "telephone_number": "786-474-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALZAGORRI",
        "first_name": "MARCELINO",
        "middle_name": "ANDRES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-16",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.