Organization Active NPI

Marlenny Feliz MD PA

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1407001415
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 96474 Issued in FL
Legal business name
MARLENNY FELIZ MD PA
Practice address
1613 N Hiatus Rd
Pembroke Pines, FL 33026-2129
Phone
(954) 885-6565
Fax
(754) 400-8009
NPI assigned
Nov 19, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Marlenny Feliz, MD
Title
President
Phone
(954) 322-8985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 96474 FL Primary

Addresses

Primary practice location

1613 N Hiatus Rd
Pembroke Pines, FL 33026-2129

Mailing address

PO Box 260715
Pembroke Pines, FL 33026-7715
Phone (954) 322-8985

Other practice location 1

18503 Pines Blvd Ste 311
Pembroke Pines, FL 33029-1406
Phone (954) 885-6565

Other identifiers 1

IdentifierTypeStateIssuer
000733500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090304000402 FL Part B Supplier - Clinic/Group Practice 3274699947 Receives reassigned benefits from 1 practitioner
Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

1951 SW 172nd Ave
Ste 417
Miramar, FL 33029
Phone (954) 255-7827

1613 N Hiatus Rd
Pembroke Pines, FL 33026
Phone (954) 432-9823

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407001415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260715",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330267715",
            "telephone_number": "954-322-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 N HIATUS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262129",
            "telephone_number": "954-885-6565",
            "fax_number": "754-400-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18503 Pines Blvd Ste 311",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330291406",
            "country_code": "US",
            "telephone_number": "954-885-6565",
            "fax_number": "754-400-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARLENNY FELIZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FELIZ",
        "authorized_official_first_name": "MARLENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-322-8985",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 96474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000733500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.