NPIMap

Individual provider Active NPI

Merlin Ivan Osorio, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1154596146
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN512 Issued in FL
Practice address
1778 W Flagler St
Miami, FL 33135-2017
Phone
(786) 663-0493
Fax
(305) 995-0448
NPI assigned
Apr 29, 2008
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X ACN512 FL Primary

Addresses

Primary practice location

1778 W Flagler St
Miami, FL 33135-2017

Mailing address

PO Box 421953
Miami, FL 33242-1953
Phone (786) 663-0493

Other practice location 1

52 Calle Morell Campos
Urb. Garcia
Arecibo, PR 00612-4316
Phone (787) 510-5105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140516000838 FL Practitioner - General Practice 3779654942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Springs Medical Network, LLCGroup PAC ID 7416314802, 2 clinicians

Practice addresses (Care Compare)

1778 W Flagler St
Suite 100
Miami, FL 33135-2017
Phone (305) 317-6091

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN512FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avante Hospitalist Group LLC Single Specialty CurrentSince Oct 9, 2022 Accepting new patients
Springs Medical Network, LLC Single Specialty CurrentSince Feb 24, 2023 Accepting new patients
Primary Medical Physicians, LLC Single Specialty Past Accepting new patients
Primary Medical Physicians, LLC Single Specialty Past Accepting new patients

Locations

1778 W Flagler St
Miami, FL 33135
Phone (305) 317-6091

1778 W Flagler St
Ste 100
Miami, FL 33135
Phone (305) 317-6091

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFDCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CBHADD/Endpoint/CBHADD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1154596146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421953",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332421953",
            "telephone_number": "786-663-0493",
            "fax_number": "305-200-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352017",
            "telephone_number": "786-663-0493",
            "fax_number": "305-995-0448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Calle Morell Campos",
            "address_2": "URB. GARCIA",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "006124316",
            "country_code": "US",
            "telephone_number": "787-510-5105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "MERLIN",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.