Active NPI
Jorge Luis Bastos Marrero, MD
- Emergency Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101286440
- Practice address
- 3100 SW 62 Ave
Miami, FL 33155 - Phone
- (305) 666-6511
- NPI assigned
- May 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 105867 | FL | |
| Emergency Medicine Physician | 207P00000X | 0101286440 | VA | Primary |
Addresses
Primary practice location
3100 SW 62 Ave
Miami, FL 33155
Mailing address
3100 SW 62ND Ave
Miami, FL 33155-3009
Phone (305) 666-6511
Other practice location 1
7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 483-0000
Other names 1
- Dr. Jorge Luis Bastos Marrero
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, LA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1643 NW 136 Ave
Sunrise, FL 33323-2857
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101286440 | VA | MD | Emergency Medicine Physician |
| ME 105867 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Emergency Physicians Kang and Associates MD LLC | Emergency Medicine | Current | Accepting new patients |
| Children'S Hospital | Emergency Medicine | Current | Accepting new patients |
| Phoenix Emergency Medicine of Broward LLC | Emergency Medicine | Current | Accepting new patients |
| Phoenix Emergency Medicine of Broward LLC | Emergency Medicine | Current | Accepting new patients |
| Phoenix Emergency Medicine of Broward LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Children'S Hospital | Current | Accepting new patients | |
| South Miami Criticare Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Emergency Physician Solutions of South Florida, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
10915 NW 41st St
Doral, FL 33178
Phone (305) 227-5548
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Emergency Medicine Physician
- Coral Springs, FL
- NPI 1871542969
-
- Emergency Medicine Physician
- South Miami, FL
- NPI 1306878210
-
- Emergency Medicine Physician
- Deerfield Beach, FL
- NPI 1407805591
-
- Emergency Medicine Physician
- Ft Lauderdale, FL
- NPI 1992708887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Orleans, LA
- NPI 1568597649
-
- Emergency Medicine Physician
- Atlantis, FL
- NPI 1609298181
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1255650834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "305-666-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SW 62 AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33155",
"telephone_number": "305-666-6511"
}
],
"practiceLocations": [
{
"address_1": "7101 Jahnke Rd",
"address_purpose": "LOCATION",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254017",
"country_code": "US",
"telephone_number": "804-483-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASTOS MARRERO",
"first_name": "JORGE",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-22",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 105867",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101286440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORGE",
"last_name": "BASTOS MARRERO",
"middle_name": "LUIS",
"prefix": "DR.",
"credential": "MD",
"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 Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.