Individual provider Active NPI

Mario Marini, LIC ACUPUNCTURIST

  • Acupuncturist
  • Aventura, FL
National Provider Identifier
1558766782
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3520 Issued in FL
Practice address
2845 Aventura Blvd
Chen Medical Aventura Inc
Aventura, FL 33180-3118
Phone
(305) 466-7333
Fax
(305) 466-7364
NPI assigned
Oct 30, 2014
Last updated
Jan 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 3520 FL Primary

Addresses

Primary practice location

2845 Aventura Blvd
Chen Medical Aventura Inc
Aventura, FL 33180-3118

Mailing address

2845 Aventura Blvd
Chen Medical Aventura Inc
Aventura, FL 33180-3118
Phone (305) 466-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3520FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1558766782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 AVENTURA BLVD",
            "address_2": "CHEN MEDICAL AVENTURA INC",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803118",
            "telephone_number": "305-466-7333",
            "fax_number": "305-466-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 AVENTURA BLVD",
            "address_2": "CHEN MEDICAL AVENTURA INC",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803118",
            "telephone_number": "305-466-7333",
            "fax_number": "305-466-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINI",
        "first_name": "MARIO",
        "credential": "LIC ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-30",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "3520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.