Individual provider Active NPI

Daniel R Marin, MD

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
National Provider Identifier
1396920161
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME104329 Issued in FL
Practice address
4960 SW 72ND Ave Ste 408
Miami, FL 33155-5506
Phone
(786) 517-4577
NPI assigned
Dec 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME 104329 FL
Physical Medicine & Rehabilitation Physician 208100000X ME104329 FL Primary

Addresses

Primary practice location

4960 SW 72ND Ave Ste 408
Miami, FL 33155-5506

Mailing address

4960 SW 72ND Ave Ste 408
Miami, FL 33155-5506
Phone (786) 517-4577

Other practice location 1

3659 S Miami Ave Ste 4002
Miami, FL 33133-4231
Phone (786) 517-4577

Other practice location 2

9195 SW 72nd St Ste 100
Miami, FL 33173-3488
Phone (786) 517-4577

Other practice location 3

8525 SW 92nd St Ste D17
Miami, FL 33156-7378
Phone (786) 517-4577

Other identifiers 2

IdentifierTypeStateIssuer
000979500MedicaidFL
145RWOtherFLBLUE CROSS BLUE SHIELD

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091012000023 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 1850437559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
University of Miami, LM Miller School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

4960 SW 72ND Ave
Suite 408
Miami, FL 33155-5506
Phone (786) 517-4577

6125 SW 31St St
Miami, FL 33155-3003
Phone (305) 666-6511

Hospital & facility affiliations

  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Fishermen'S Community Hospital Hospital, Marathon, FL, CCN 101312
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 104329FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Apr 1, 2020 Accepting new patients
Ortho Florida, LLC CurrentSince Apr 1, 2020 Accepting new patients
Proform MD LLC Physical Medicine & Rehabilitation Current Accepting new patients

Locations

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

8525 SW 92nd St
Ste D17
Miami, FL 33156
Phone (305) 270-0402

9195 Sunset Dr
Ste 100
Miami, FL 33173
Phone (305) 598-3223

4960 SW 72nd Ave
Ste 408
Miami, FL 33155
Phone (786) 517-4577

6125 SW 31st St
Miami, FL 33155
Phone (305) 662-5056

3659 S Miami Ave
Ste 4002
Miami, FL 33133
Phone (305) 393-8810

Networks

  • Freedom Health HMO Network

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1198886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1396920161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE STE 408",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555506",
            "telephone_number": "786-517-4577",
            "fax_number": "786-364-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE STE 408",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555506",
            "telephone_number": "786-517-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3659 S Miami Ave Ste 4002",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334231",
            "country_code": "US",
            "telephone_number": "786-517-4577",
            "fax_number": "786-364-7330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9195 SW 72nd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733488",
            "country_code": "US",
            "telephone_number": "786-517-4577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8525 SW 92nd St Ste D17",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331567378",
            "country_code": "US",
            "telephone_number": "786-517-4577",
            "fax_number": "786-364-7330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIN",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-29",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME 104329",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME104329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000979500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "145RW",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.