MP Advanced Practice PA

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

MP ADVANCED PRACTICE PA

Practice address

10300 Sunset Dr Ste 354
Miami, FL 33173-3020

Phone

(305) 714-2923

Fax

(305) 851-7515

NPI assigned

Mar 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Marien Perez, ARNPNPI 1902374762

Title

Authorized Officail

Phone

(786) 374-7521

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marien Perez, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1902374762
  Medicare reassignment Care Compare group NPD Authorized official
• Santiago A Machado Cabrera

  • Family Nurse Practitioner
  • Cutler Bay, FL
  • NPI 1912613886
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1538744677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15679 SW 10TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942420",
            "telephone_number": "786-374-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SUNSET DR STE 354",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733020",
            "telephone_number": "305-714-2923",
            "fax_number": "305-851-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MP ADVANCED PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARIEN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAIL",
        "authorized_official_telephone_number": "786-374-7521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APRN11000079",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos A Moyano
• Lucia Victoria Moyano
• Marcelo Javier Moyano, APRN
• Mozhgan Alijani, DPM, PA
• Alina Mozo Martin
• MP Behavioral Solutions Inc
• MP Diagnostic LTD
• MP Diagnostic LTD
• MP Diversified Services Corp
• MP Residence Alf

• Adult Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.