Active NPI
Mario E Reyes-Serrano, M.D.
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1265481766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME94353
- Practice address
- 10300 SW 72ND St
Suite 311
Miami, FL 33173-3012 - Phone
- (305) 271-6570
- Fax
- (305) 279-6805
- NPI assigned
- May 10, 2006
- Last updated
- Sep 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME94353 | FL | Primary |
Addresses
Primary practice location
10300 SW 72ND St
Suite 311
Miami, FL 33173-3012
Mailing address
19832 NW 88TH Ave
Hialeah, FL 33018-6206
Phone (305) 816-5956
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME94353 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Medical Center Inc | Family Medicine | Past | Accepting new patients |
| Life Care Center Inc | Past | Accepting new patients | |
| Sorisa Medical Center Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinic/Center
- Miami Beach, FL
- NPI 1720154123
-
- Family Medicine Physician
- Hialeah, FL
- NPI 1740334895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1265481766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19832 NW 88TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330186206",
"telephone_number": "305-816-5956",
"fax_number": "305-816-5976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW 72ND ST",
"address_2": "SUITE 311",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733012",
"telephone_number": "305-271-6570",
"fax_number": "305-279-6805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES-SERRANO",
"first_name": "MARIO",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME94353",
"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 Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.