Omar F Medina-Marenco, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS 9040 Issued in FL

Practice address

1898 SW 27 TH Avenue
Suite # 1
Miami, FL 33145

Phone

(305) 447-8777

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1528096518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831419",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332831419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 SW 27 TH AVENUE",
            "address_2": "SUITE # 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "305-447-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA-MARENCO",
        "first_name": "OMAR",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS 9040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13660",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Isabella Medina Suarez
• Martha Maria Medina Teron
• Arletty Medina Torres, BCBA
• Michel Medina Valmaseda
• Beidy Medina Villasuso
• Adriana Medina, APRN
• Adriana Maria Medina, MD
• Alexis Medina
• Alicia Caridad Medina, ARNP-C
• Amalia Jessica Medina

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.