Active NPI
Mariela Urbina MD, PA
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1154399368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME75494
- Legal business name
- MARIELA URBINA MD, PA
- Practice address
- 2760 SW 97TH Ave
Suite 105
Miami, FL 33165-2684 - Phone
- (305) 228-3714
- Fax
- (305) 228-6153
- NPI assigned
- Mar 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mariela A Urbina, MD
- Title
- President
- Phone
- (305) 228-3714
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME75494 | FL | Primary |
Addresses
Primary practice location
2760 SW 97TH Ave
Suite 105
Miami, FL 33165-2684
Mailing address
2760 SW 97TH Ave
Suite 105
Miami, FL 33165-2684
Phone (305) 228-3714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254678700 | Medicaid | FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1055496 | Mariela Urbina MD PA | Certificate of waiver | Jun 19, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Miami, FL
- NPI 1114067691
-
- Pediatrics Physician
- Miami, FL
- NPI 1295742815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313107200000",
"number": "1154399368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 SW 97TH AVE",
"address_2": "SUITE 105",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652684",
"telephone_number": "305-228-3714",
"fax_number": "305-228-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 SW 97TH AVE",
"address_2": "SUITE 105",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652684",
"telephone_number": "305-228-3714",
"fax_number": "305-228-6153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIELA URBINA MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2011-08-12",
"status": "A",
"authorized_official_last_name": "URBINA",
"authorized_official_first_name": "MARIELA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-228-3714",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME75494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254678700",
"state": "FL"
}
],
"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 Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.