Active NPI
Zion Health Care LLC
- General Practice Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MH 11022
- Legal business name
- ZION HEALTH CARE LLC
- Practice address
- 11389 W Flagler St
Miami, FL 33174-1185 - Phone
- (786) 886-3400
- Fax
- (786) 886-3401
- NPI assigned
- Apr 29, 2016
- Last updated
- Oct 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julietta Marrero, LMHC
- Title
- President
- Phone
- (786) 886-3400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MH 11022 | FL | Primary |
Addresses
Primary practice location
11389 W Flagler St
Miami, FL 33174-1185
Mailing address
1470 NW 107TH Ave
Suite G
Doral, FL 33172-2744
Phone (786) 886-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170629001553 | FL | Part B Supplier - Clinic/Group Practice | 8224307517 |
Receives reassigned benefits from 9 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hialeah, FL; Miami, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2133828 | Zion Health Care LLC | Certificate of waiver | Jul 19, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Zion Health Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Hialeah, FL
- NPI 1023398310
Locations
2100 W 76th St
Fl 5
Hialeah, FL 33016
Phone (786) 536-9719
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Doral, FL
- NPI 1245507607
-
- General Practice Physician
- Hialeah, FL
- NPI 1801804752
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1235804899
-
- Family Nurse Practitioner
- Sweetwater, FL
- NPI 1245887017
-
- General Practice Physician
- Doral, FL
- NPI 1619940772
-
- General Practice Physician
- Hialeah, FL
- NPI 1760846786
-
- Behavior Technician
- Miami, FL
- NPI 1013314210
-
- Nurse Practitioner
- Miami, FL
- NPI 1093597254
-
- General Practice Physician
- Hialeah, FL
- NPI 1205935178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603238400000",
"number": "1164877833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 NW 107TH AVE",
"address_2": "SUITE G",
"city": "DORAL",
"state": "FL",
"postal_code": "331722744",
"telephone_number": "786-886-3400",
"fax_number": "305-594-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11389 W FLAGLER ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331741185",
"telephone_number": "786-886-3400",
"fax_number": "786-886-3401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZION HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-29",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A",
"authorized_official_last_name": "MARRERO",
"authorized_official_first_name": "JULIETTA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-886-3400",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "MH 11022",
"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 Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.