Individual provider Active NPI

Marcos Juan Zaragoza, D.O.

  • Family Medicine Physician
  • Dania Beach, FL
National Provider Identifier
1164520680
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7334 Issued in FL
Practice address
1437 S Federal Hwy
Dania Beach, FL 33004-4348
Phone
(954) 399-9941
Fax
(954) 399-9987
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7334 FL Primary

Addresses

Primary practice location

1437 S Federal Hwy
Dania Beach, FL 33004-4348

Mailing address

4780 SW 64TH Ave Ste 103
Davie, FL 33314-4400
Phone (954) 434-1705

Other identifiers 2

IdentifierTypeStateIssuer
256539101MedicaidFL
56723ROtherFLMEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000382 FL Practitioner - Internal Medicine 7517955289 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 N Palm Ave
Suite 101
Pembroke Pines, FL 33026-3240
Phone (954) 436-6660

3401 Davie Blvd
Fort Lauderdale, FL 33312-2758

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS7334FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
Vanguard Medical Group, LLC CurrentSince Sep 1, 2011 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jul 30, 2018 Accepting new patients
Florida Primary Care Partners LLC CurrentSince Aug 1, 2023 Accepting new patients
Associatesmd Medical Group Inc Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
South Broward Hospital District Current Accepting new patients
MD Now Medical Centers Inc CurrentSince Jul 30, 2018 Accepting new patients
South Broward Hospital District CurrentSince Aug 1, 2014 Accepting new patients
Associatesmd Medical Group Inc CurrentSince Mar 1, 2020 Accepting new patients
Internal Medicine Associates of FL PastSince Aug 24, 2004 Accepting new patients
Inphynet South Broward LLC Family Medicine Past Accepting new patients
Peninsula Radiological Associates Limited Past Accepting new patients

Locations

1437 S Federal Hwy
Dania Beach, FL 33004
Phone (954) 399-9941

4780 SW 64th Ave
Ste 103
Davie, FL 33314

3401 Davie Blvd
Ft Lauderdale, FL 33312
Phone (954) 368-9773

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

2900 Corporate Way
Miramar, FL 33025
Phone (954) 276-5411

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

2217 N University Dr
Pembroke Pines, FL 33024
Phone (954) 883-8140

1601 N Palm Ave
Ste 101
Pembroke Pines, FL 33026
Phone (954) 436-6660

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

603 N Flamingo Rd
Ste 150
Pembroke Pnes, FL 33028
Phone (305) 803-8097

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

350 NW 84th Ave
Ste 200B
Plantation, FL 33324
Phone (954) 577-2294

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJDGAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGECD/Endpoint/IBGECD

Organizations & group practices 12

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 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1164520680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 SW 64TH AVE STE 103",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144400",
            "telephone_number": "954-434-1705",
            "fax_number": "954-399-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 S FEDERAL HWY",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330044348",
            "telephone_number": "954-399-9941",
            "fax_number": "954-399-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARAGOZA",
        "first_name": "MARCOS",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256539101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "56723R",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dania Beach, FL

Sources for this page

Verify at the official NPI Registry.