Organization Active NPI

Mariela Urbina MD, PA

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1154399368
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME75494 Issued in FL
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

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Dr. Mariela A Urbina, MDNPI 1114067691
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
254678700MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1055496Mariela Urbina MD PA2760 SW 97TH Ave #105, Miami, FL 33165Certificate of waiverJun 19, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.