Individual provider Active NPI

Mariana Giron, M.D.

  • Family Medicine Physician
  • Lutz, FL
National Provider Identifier
1194110304
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME139816 Issued in FL
Practice address
18560 N Dale Mabry Hwy
Lutz, FL 33548-7900
Phone
(813) 948-7734
Fax
(813) 769-9752
NPI assigned
Apr 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 ME139816 FL Primary

Addresses

Primary practice location

18560 N Dale Mabry Hwy
Lutz, FL 33548-7900

Mailing address

18560 N Dale Mabry Hwy
Lutz, FL 33548-7900
Phone (813) 948-7734

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
I20190917002311 FL Practitioner - Family Practice 0446589410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18560 N Dale Mabry Hwy
Lutz, FL 33548-7900
Phone (813) 948-7734

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Lucie Medical Specialists LLC Family Medicine CurrentSince Aug 15, 2019 Accepting new patients
Lifechoices Women'S Care, Inc. Family Medicine CurrentSince May 1, 2020 Accepting new patients

Locations

18560 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 948-7734

2505 SW Martin Hwy
Palm City, FL 34990
Phone (772) 288-0060

140 SW Chamber Ct
Ste 100
Port St Lucie, FL 34986
Phone (772) 873-0303

Interoperability endpoints

  • Direct secure messaging: mariana.giron.1@14375.direct.athenahealth.com

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1194110304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18560 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335487900",
            "telephone_number": "813-948-7734",
            "fax_number": "813-769-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18560 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335487900",
            "telephone_number": "813-948-7734",
            "fax_number": "813-769-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRON",
        "first_name": "MARIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME139816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.