Merlin Ivan Osorio, MD
Individual provider Active NPI General Practice Physician · Miami, FL
NPI 1154596146 · NPPES record last updated Aug 13, 2024
Key facts
- NPI
- 1154596146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- ACN512 (FL)
- Practice address
- 1778 W Flagler St
Miami, FL 33135-2017 - Phone
- (786) 663-0493
- Fax
- (305) 995-0448
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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, LLC
Practice addresses (Care Compare)
1778 W Flagler St
Suite 100
Miami, FL 33135-2017
Phone (305) 317-6091
Hospital & facility affiliations
- Vitas Healthcare Corporation of Florida
- Accentcare Hospice & Palliative Care of Southern Florida
- Gentiva
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140516000838 | FL | Practitioner - General Practice | 3779654942 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN512 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springs Medical Network, LLC | Single Specialty | Current |
Accepting new patients |
| Avante Hospitalist Group LLC | Single Specialty | Current |
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
Ste 100
Miami, FL 33135
Phone (305) 317-6091
1778 W Flagler St
Miami, FL 33135
Phone (305) 317-6091
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CBHADD/Endpoint/CBHADD
- https://fhir4.healow.com/fhir/r4/ACFDCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | ACN512 | FL | Yes |
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
Other providers in Miami, FL
- Geryel Osorio
- Isabella Osorio
- Jennifer R Osorio
- Laura Lee Osorio
- Luis Osorio
- Raul R Osorio
- Rosa Osorno
- Victoria Dale Osorno
- Victoria Kareny Osorto
- Ospa Behavior Therapy Services Inc
All providers in Miami, FL · General Practice Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.