Individual provider Active NPI

Marino Esteban Corniel, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1194121939
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9357689 Issued in FL
Practice address
14623 SW 115TH St
Miami, FL 33186-7077
Phone
(305) 342-6059
NPI assigned
Nov 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9357689 FL Primary

Addresses

Primary practice location

14623 SW 115TH St
Miami, FL 33186-7077

Mailing address

14623 SW 115TH St
Miami, FL 33186-7077
Phone (305) 342-6059

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170916000422 FL Practitioner - Nurse Practitioner 5395019251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coral Reef Medical Group LLCGroup PAC ID 5395808885, 4 clinicians

Practice addresses (Care Compare)

30334 Old Dixie Hwy
Homestead, FL 33033-3215
Phone (786) 243-0149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ARNP9357689FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coral Reef Medical Group LLC CurrentSince Apr 3, 2017 Accepting new patients

Locations

30334 Old Dixie Hwy
Homestead, FL 33033
Phone (305) 279-2621

11440 N Kendall Dr
Ste 308
Miami, FL 33176
Phone (305) 271-7660

Organizations & group practices 1

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": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1194121939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14623 SW 115TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867077",
            "telephone_number": "305-342-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14623 SW 115TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867077",
            "telephone_number": "305-342-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNIEL",
        "first_name": "MARINO",
        "middle_name": "ESTEBAN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9357689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.