Active NPI
MJ Medical and Dental Group Inc
- Family Medicine Physician
- Doral, FL
National Provider Identifier
1609939602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MJ MEDICAL AND DENTAL GROUP INC
- Practice address
- 1470 NW 107TH Ave Ste G
Doral, FL 33172-2734 - Phone
- (305) 594-8666
- Fax
- (305) 594-0088
- NPI assigned
- Dec 19, 2006
- 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
- Julietta Marrero, LMHC
- Title
- Owner, Ceo
- Phone
- (305) 898-2772
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FL | Primary |
Addresses
Primary practice location
1470 NW 107TH Ave Ste G
Doral, FL 33172-2734
Mailing address
1470 NW 107TH Ave Ste G
Sweetwater, FL 33172-2734
Phone (305) 594-8666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250008600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Orlando, FL
- NPI 1871813147
-
- General Practice Physician
- Doral, FL
- NPI 1619940772
-
- General Practice Physician
- Hialeah, FL
- NPI 1205935178
-
- Mental Health Counselor
- Doral, FL
- NPI 1245507607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776384000000",
"number": "1609939602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 NW 107TH AVE STE G",
"city": "SWEETWATER",
"state": "FL",
"postal_code": "331722734",
"telephone_number": "305-594-8666",
"fax_number": "305-594-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 NW 107TH AVE STE G",
"city": "DORAL",
"state": "FL",
"postal_code": "331722734",
"telephone_number": "305-594-8666",
"fax_number": "305-594-0088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MJ MEDICAL AND DENTAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A",
"authorized_official_last_name": "MARRERO",
"authorized_official_first_name": "JULIETTA",
"authorized_official_title_or_position": "OWNER, CEO",
"authorized_official_telephone_number": "305-898-2772",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250008600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.