Organization Active NPI

Maria I Prieto MD PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1356588461
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME75082 Issued in FL
Legal business name
MARIA I PRIETO MD PA
Practice address
11760 SW 40TH St
Ste 342
Miami, FL 33175-3582
Phone
(305) 553-1663
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Maria Isabel Prieto-Marichal, M.D.
Title
President
Phone
(305) 553-1663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME75082 FL Primary

Addresses

Primary practice location

11760 SW 40TH St
Ste 342
Miami, FL 33175-3582

Mailing address

PO Box 652235
Miami, FL 33265-2235
Phone (305) 553-1663

Other identifiers 1

IdentifierTypeStateIssuer
255855600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1356588461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652235",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332652235",
            "telephone_number": "305-553-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "STE 342",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-553-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA I PRIETO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "PRIETO-MARICHAL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-553-1663",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255855600",
            "state": "FL"
        }
    ],
    "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 Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.