Marichal & Prieto MD PA

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME76132 Issued in FL

Legal business name

MARICHAL & PRIETO MD PA

Practice address

11760 SW 40TH St Ste 347
Miami, FL 33175-3595

Phone

(305) 595-4136

Fax

(305) 596-0668

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mabiet Villegas

Title

Adm

Phone

(305) 595-4136

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Jose Rafael Marichal, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1689690356
  Medicare reassignment Care Compare group NPD
• Maria Isabel Prieto, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1508882283
  Medicare reassignment Care Compare group NPD
• Ghassan Aziz Hasan, MD

  • Family Medicine Physician
  • Crystal River, FL
  • NPI 1366413320
  NPD (past)
• Hashem Sultan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Miami, FL
  • NPI 1760479430
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306982111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 347",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753595",
            "telephone_number": "305-595-4136",
            "fax_number": "305-596-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 347",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753595",
            "telephone_number": "305-595-4136",
            "fax_number": "305-596-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICHAL & PRIETO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "MABIET",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "305-595-4136"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME76132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariano S Lacayo MD PA
• Xilena Patricia Mariano, RN
• Maribel Lopez DDS PA
• Adriana Sofia Maribona
• Javier Francisco Maribona, D.P.M.
• Gladys Marichal Garcia
• Betsy Rosario Marichal Gonzalez
• Edgar Ayan Marichal Ramos
• Jose Rafael Marichal, M.D.
• Mabel Marichal, PA

• Health Service Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.