Organization Active NPI

Zion Health Care LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1164877833
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MH 11022 Issued in FL
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Julietta Marrero, LMHCNPI 1245507607
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2133828Zion Health Care LLC11389 West Flagler Street, Miami, FL 33174Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Zion Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1578 W 68th St
Hialeah, FL 33014
Phone (305) 557-3889

11389 W Flagler St
Miami, FL 33174
Phone (305) 480-2045

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.