Individual provider Active NPI

Marco Antonio Marcheco Barzaga

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1619674009
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02230424 Issued in FL
Practice address
13045 SW 68TH St Apt 208
Miami, FL 33183-2477
Phone
(786) 777-8360
NPI assigned
Feb 15, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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 F02230424 FL Primary

Addresses

Primary practice location

13045 SW 68TH St Apt 208
Miami, FL 33183-2477

Mailing address

13045 SW 68TH St Apt 208
Miami, FL 33183-2477
Phone (786) 777-8360

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
I20230328002707 FL Practitioner - Nurse Practitioner 1850765132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
29.16 of 100Reported as group
Quality
0
Promoting interoperability
59
Improvement activities
0
Cost
48.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02230424FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Beach Rehab, Corp CurrentSince Apr 1, 2024 Accepting new patients
Florida Orthocare Network, LLC. CurrentSince Apr 1, 2024 Accepting new patients
Florida Orthocare Network, LLC CurrentSince Apr 1, 2024 Accepting new patients
Royal Palm Beach Rehab, Corp Current Accepting new patients
Royal Palm Beach Rehab, Corp CurrentSince Apr 1, 2024 Accepting new patients

Locations

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

6415 Lake Worth Rd
Ste 101
Greenacres, FL 33463
Phone (561) 318-7432

6415 Lake Worth Rd
Ste 302
Greenacres, FL 33463

3900 Hollywood Blvd
Ste 204
Hollywood, FL 33021
Phone (305) 306-0600

3335 Burns Rd
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 363-4455

3345 Burns Rd
Ste 202
Palm Beach Gardens, FL 33410
Phone (561) 366-6777

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1619674009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13045 SW 68TH ST APT 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832477",
            "telephone_number": "786-777-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13045 SW 68TH ST APT 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832477",
            "telephone_number": "786-777-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHECO BARZAGA",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F02230424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.