Individual provider Active NPI

Mariana Viera-Navarro, PA-C

  • Medical Physician Assistant
  • Miami, FL
National Provider Identifier
1225034861
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9102198 Issued in FL
Practice address
3915 Biscayne Blvd Ste 406
Miami, FL 33137-3737
Phone
(305) 367-1176
Fax
(877) 391-0039
NPI assigned
Jun 27, 2005
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9102198 FL Primary

Addresses

Primary practice location

3915 Biscayne Blvd Ste 406
Miami, FL 33137-3737

Mailing address

5939 SW 27TH St
Miami, FL 33155-3136
Phone (305) 205-1314

Other identifiers 1

IdentifierTypeStateIssuer
PA9102198OtherFLPA STATE LICENSE

Other names 1

  • Mariana Viera Navarro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Osteopathic Center, LLC PastSince Aug 3, 2020 Accepting new patients
Osteopathic Regenerative Medicine Center, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1225034861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 SW 27TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553136",
            "telephone_number": "305-205-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 BISCAYNE BLVD STE 406",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373737",
            "telephone_number": "305-367-1176",
            "fax_number": "877-391-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERA-NAVARRO",
        "first_name": "MARIANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE",
            "identifier": "PA9102198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANA",
            "last_name": "NAVARRO",
            "middle_name": "VIERA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.