Organization Active NPI

Marios Health Care LLC

  • Primary Care Clinic/Center
  • Homestead, FL
National Provider Identifier
1316651078
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MARIOS HEALTH CARE LLC
Practice address
24830 SW 122ND PL
Homestead, FL 33032-8123
Phone
(305) 785-7833
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Mario Amaury Cartaya Diaz, APRNNPI 1932669504
Title
Owner
Phone
(305) 785-7833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

24830 SW 122ND PL
Homestead, FL 33032-8123

Mailing address

24830 SW 122ND PL
Homestead, FL 33032-8123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230125000283 FL Part B Supplier - Clinic/Group Practice 9234500547 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1316651078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24830 SW 122ND PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24830 SW 122ND PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328123",
            "telephone_number": "305-785-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIOS HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-08",
        "status": "A",
        "authorized_official_last_name": "CARTAYA DIAZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "AMAURY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-785-7833",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.