Mabel Marichal, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9109072 Issued in FL

Practice address

12750 SW 128TH St Ste 108
Miami, FL 33186-5380

Phone

(786) 409-9490

Fax

(786) 592-2008

NPI assigned

Oct 8, 2015

Last updated

May 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M&V San Jose Medical Center LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1598318495
  Medicare reassignment Authorized official
• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1033195474
  Medicare reassignment
• MD Now Medical Centers Inc

  dba MD Now Urgent Care

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1265107361
  NPD

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1366813966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 SW 128TH ST STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865380",
            "telephone_number": "786-409-9490",
            "fax_number": "786-592-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 SW 128TH ST STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865380",
            "telephone_number": "786-409-9490",
            "fax_number": "786-592-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARICHAL",
        "first_name": "MABEL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "PA9109072",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marichal & Prieto MD PA
• Gladys Marichal Garcia
• Betsy Rosario Marichal Gonzalez
• Edgar Ayan Marichal Ramos
• Jose Rafael Marichal, M.D.
• Ruben Marichal, RBT
• Richard Alfredo Mariduena
• Marie Dessalines (Guil Adult Family Services)
• Marie Munoz Consulting
• Carolin Margit Marie, CRNA

• Medical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.