Individual provider Active NPI

Janice Lima-Maribona, D.O.

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1649292194
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS0006885 Issued in FL
Practice address
3661 S Miami Ave
1005
Miami, FL 33133-4236
Phone
(305) 856-7887
Fax
(305) 856-0805
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS0006885 FL Primary

Addresses

Primary practice location

3661 S Miami Ave
1005
Miami, FL 33133-4236

Mailing address

3850 Bird Road
Suite 104
Miami, FL 33146
Phone (305) 669-8337

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000297 FL Practitioner - Dermatology 9739114927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3850 Bird Rd
Miami, FL 33146-1507
Phone (305) 669-8337

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions180
Removal or shaving of skin growth21
Skin biopsy181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS0006885FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Pointe Dermatology and Cosmetic Center PA CurrentSince Sep 6, 2005 Accepting new patients
Children's Skin Center PA Dermatology Past Accepting new patients
Sun Coast Hospital Inc Past Accepting new patients
Largo Physician Group, LLC PastSince Nov 4, 2012 Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients

Locations

3661 S Miami Ave
Ste 1005
Miami, FL 33133
Phone (305) 856-7887

3850 Bird Rd
Ste 104
Miami, FL 33146
Phone (305) 669-8337

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bf8f05ba-6e12-4216-9197-5290cecb808c/

Organizations & group practices 5

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1649292194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 BIRD ROAD",
            "address_2": "SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33146",
            "telephone_number": "305-669-8337",
            "fax_number": "305-856-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "1005",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-856-7887",
            "fax_number": "305-856-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMA-MARIBONA",
        "first_name": "JANICE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS0006885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.