Organization Active NPI

Mariaines Apolo PA

  • Primary Podiatric Medicine Podiatrist
  • Doral, FL
National Provider Identifier
1629002571
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO3228 Issued in FL
Legal business name
MARIAINES APOLO PA
Practice address
8339 NW 12TH St
Doral, FL 33126-1841
Phone
(305) 459-3970
Fax
(305) 459-3971
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Dr. Mariaines Apolo, DPMNPI 1831137306
Title
President
Phone
(305) 322-8629

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X PO3228 FL Primary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X PO3228 FL

Addresses

Primary practice location

8339 NW 12TH St
Doral, FL 33126-1841

Mailing address

251 Valencia Ave Unit 142133
Coral Gables, FL 33114-6987
Phone (305) 459-3970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060815000141 FL Part B Supplier - Clinic/Group Practice 5496758385 Receives reassigned benefits from 1 practitioner
Practice locations: West Miami, FL; Miami, FL; Doral, FL; Homestead, FL

National Provider Directory

National Provider Directory

Locations

251 Valencia Ave
Unit 142133
Coral Gables, FL 33114
Phone (305) 459-3970

251 Valencia Ave
Unit 142133
Coral Gables, FL 33134

1325 SW 1st St
Miami, FL 33135
Phone (305) 631-0470

5890 SW 8th St
West Miami, FL 33144
Phone (305) 266-0284

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1629002571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 VALENCIA AVE UNIT 142133",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331146987",
            "telephone_number": "305-459-3970",
            "fax_number": "305-459-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8339 NW 12TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261841",
            "telephone_number": "305-459-3970",
            "fax_number": "305-459-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAINES APOLO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "APOLO",
        "authorized_official_first_name": "MARIAINES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-322-8629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO3228",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3228",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 13, 2022; 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.