Individual provider Active NPI

Gilma A Marimon, M.D.

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1164699385
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME115028 Issued in FL
Practice address
3661 S Miami Ave Ste 803
Miami, FL 33133-4214
Phone
(786) 600-4733
Fax
(786) 724-4889
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME115028 FL Primary

Addresses

Primary practice location

3661 S Miami Ave Ste 803
Miami, FL 33133-4214

Mailing address

3661 S Miami Ave Ste 803
Miami, FL 33133-4214
Phone (786) 600-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME115028FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cordero and Perez-Silva, MD, PA Pediatrics Past Accepting new patients
Vitalmd Group Holding LLC Pediatrics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1164699385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 803",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334214",
            "telephone_number": "786-600-4733",
            "fax_number": "786-724-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 803",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334214",
            "telephone_number": "786-600-4733",
            "fax_number": "786-724-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIMON",
        "first_name": "GILMA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME115028",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.