Individual provider Active NPI

Javier Francisco Maribona, D.P.M.

  • Foot Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1285675520
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO 2126 Issued in FL
Practice address
8582 SW 40TH St
Miami, FL 33155-3214
Phone
(305) 551-3412
Fax
(395) 551-1945
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO 2126 FL Primary

Addresses

Primary practice location

8582 SW 40TH St
Miami, FL 33155-3214

Mailing address

5740 SW 58TH CT
South Miami, FL 33143-2326

Other identifiers 1

IdentifierTypeStateIssuer
053767500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081114000712 FL Practitioner - Podiatry 6002976438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bird Rd Medical Center IncGroup PAC ID 2769436047, 5 clinicians

Practice addresses (Care Compare)

8485 SW 40 St
Miami, FL 33155-3262
Phone (305) 551-3412

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PO 2126FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bird Rd Medical Center Inc CurrentSince Oct 26, 1990 Accepting new patients
Advanced Footcare Inc Foot Surgery PastSince Jul 7, 2017 Accepting new patients
Helen B. Bentley Family Health Center, Inc. PastSince Jan 1, 2008 Accepting new patients

Locations

8485 SW 40th St
Ste 102
Miami, FL 33155
Phone (305) 551-3412

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4399/brand/8/csg/41/fhir/r4
  • Direct secure messaging: javiermaribona@brmc-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1285675520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 SW 58TH CT",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331432326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8582 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553214",
            "telephone_number": "305-551-3412",
            "fax_number": "395-551-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIBONA",
        "first_name": "JAVIER",
        "middle_name": "FRANCISCO",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO 2126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053767500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.