Active NPI
Marvict Dermatology and Preventive Care Inc
- Family Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1225647647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MARVICT DERMATOLOGY AND PREVENTIVE CARE INC
- Practice address
- 2387 W 68TH St Ste 203
Hialeah, FL 33016-6890 - Phone
- (786) 606-9696
- NPI assigned
- Jul 31, 2020
- 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
- Idolidia Machado, NP
- Title
- President
- Phone
- (786) 458-7046
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2387 W 68TH St Ste 203
Hialeah, FL 33016-6890
Mailing address
2596 W 73Rd PL
Hialeah, FL 33016-6503
Phone (786) 458-7046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15700 NW 67th Ave
Ste 101
Miami Lakes, FL 33014
Phone (305) 621-8051
1811 NW 123rd Ave
Pembroke Pines, FL 33026
Phone (786) 606-9696
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Hialeah, FL
- NPI 1437792215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735862400000",
"number": "1225647647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2596 W 73RD PL",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330166503",
"telephone_number": "786-458-7046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2387 W 68TH ST STE 203",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330166890",
"telephone_number": "786-606-9696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARVICT DERMATOLOGY AND PREVENTIVE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-31",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A",
"authorized_official_last_name": "MACHADO",
"authorized_official_first_name": "IDOLIDIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-458-7046",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.