Individual provider Active NPI

Jorge Luis Marrero, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1598304594
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12190001 Issued in FL
Practice address
8501 SW 124TH Ave Ste 110
Miami, FL 33183-4631
Phone
(786) 808-8555
Fax
(786) 360-1100
NPI assigned
Dec 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12190001 FL Primary

Addresses

Primary practice location

8501 SW 124TH Ave Ste 110
Miami, FL 33183-4631

Mailing address

2381 SW 81St Ave
Miami, FL 33155-1234
Phone (305) 266-5859

Other practice location 1

7791 NW 146th St
Miami Lakes, FL 33016-1567
Phone (786) 808-8555

Other identifiers 1

IdentifierTypeStateIssuer
109-759-700MedicaidFL

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200408003039 FL Practitioner - Nurse Practitioner 8820427131 Reassigns benefits to 1 organization
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Matmed LLCGroup PAC ID 5193052249, 13 clinicians

Practice addresses (Care Compare)

8501 SW 124TH Ave
Suite 110
Miami, FL 33183-4631
Phone (786) 808-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12190001FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matmed LLC CurrentSince Jun 15, 2022 Accepting new patients
Matmed LLC PastSince Jun 15, 2022 Accepting new patients

Locations

8501 SW 124th Ave
Ste 110
Miami, FL 33183
Phone (786) 808-8555

7791 NW 146th St
Miami Lakes, FL 33016
Phone (786) 808-8555

Interoperability endpoints

  • Direct secure messaging: jorge.marrero.p1@direct.caremax.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1598304594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 SW 81ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551234",
            "telephone_number": "305-266-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834631",
            "telephone_number": "786-808-8555",
            "fax_number": "786-360-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7791 NW 146th St",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330161567",
            "country_code": "US",
            "telephone_number": "786-808-8555",
            "fax_number": "305-967-8497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F12190001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109-759-700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.