Active NPI
Marlenny Feliz MD PA
- Internal Medicine Physician
- Pembroke Pines, FL
National Provider Identifier
1407001415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 96474
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000733500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Pembroke Pines, FL
- NPI 1326127044
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.