Carlos Marill, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME44925 Issued in FL

Legal business name

CARLOS MARILL, MD, PA

Practice address

5975 Sunset Dr
Suite 802
South Miami, FL 33143-5166

Phone

(305) 598-8622

NPI assigned

Nov 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Marill, M.D.NPI 1700817574

Title

President

Phone

(305) 598-8622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Miguel Marill, M.D., P.A.

  • Family Medicine Physician
  • South Miami, FL
  • NPI 1700817574
  Medicare reassignment Authorized official
• Hakop Hrachian Haftevani, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Miami, FL
  • NPI 1174606529
  NPD (past)

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1265733695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 SUNSET DRIVE",
            "address_2": "SUITE 802",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-598-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 SUNSET DR",
            "address_2": "SUITE 802",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435166",
            "telephone_number": "305-598-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS MARILL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "MARILL",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-598-8622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME44925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esteban Cardonne, M.D.
• Carepact, Inc.
• Carey Green MD PA
• Scott Brooks Carico, D.M.D.
• Jennifer Carlo, LMHC
• Lillian Amanda Carmichael
• Erick Carmona, LMT
• Joshua Carmona
• Osvaldo Antonio Carmona, MD
• Carmen Carnero

• Specialist in South Miami, FL
• Providers in South Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.

Verify at the official NPI Registry.