Active NPI
Casa de Corazon P a
- Cardiovascular Disease Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CASA DE CORAZON P A
- Practice address
- 3661 S Miami Ave Ste 902
Miami, FL 33133-4214 - Phone
- (305) 856-7636
- Fax
- (305) 856-6755
- NPI assigned
- May 11, 2012
- 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
- Melvin A Martinez-Castrillon, MD
- Title
- President
- Phone
- (305) 856-7636
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
3661 S Miami Ave Ste 902
Miami, FL 33133-4214
Mailing address
2520 Coral Way Ste 2295
Coral Gables, FL 33145-3438
Phone (305) 856-7636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050405000792 | FL | Part B Supplier - Clinic/Group Practice | 4385691088 |
Receives reassigned benefits from 1 practitioner Practice locations: Miami, FL |
National Provider Directory
National Provider Directory- Tax ID family
- Casa de Corazon P a
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Miami, FL
- NPI 1538358494
Locations
2520 Coral Way
Ste 2295
Coral Gables, FL 33145
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Miami, FL
- NPI 1396768552
Cardiovascular Disease, FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337299200000",
"number": "1215296199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 CORAL WAY STE 2295",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331453438",
"telephone_number": "305-856-7636",
"fax_number": "305-856-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 S MIAMI AVE STE 902",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334214",
"telephone_number": "305-856-7636",
"fax_number": "305-856-6755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASA DE CORAZON P A",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-11",
"last_updated": "2012-05-18",
"status": "A",
"authorized_official_last_name": "MARTINEZ-CASTRILLON",
"authorized_official_first_name": "MELVIN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-856-7636",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"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 May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.