Individual provider Active NPI

Marcela Jimenez Torres, M.D.

  • Obstetrics & Gynecology Physician
  • Pembroke Pines, FL
National Provider Identifier
1649595646
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME 129659 Issued in FL
Practice address
10011 Pines Blvd Ste 202
Pembroke Pines, FL 33024-6167
Phone
(754) 217-4181
Fax
(754) 217-4185
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5078 GA
Obstetrics & Gynecology Physician 207V00000X ME 129659 FL Primary

Addresses

Primary practice location

10011 Pines Blvd Ste 202
Pembroke Pines, FL 33024-6167

Mailing address

10011 Pines Blvd Ste 202
Pembroke Pines, FL 33024-6167
Phone (754) 217-4181

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
I20180327001974 FL Practitioner - Obstetrics/Gynecology 1456509140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10011 Pines Blvd
Suite 202
Pembroke Pines, FL 33024-6167
Phone (754) 217-4181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 129659FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modern OBGYN Care, PLLC. Obstetrics & Gynecology CurrentSince Apr 1, 2021 Accepting new patients

Locations

12600 Pembroke Rd
Ste 302
Miramar, FL 33027
Phone (305) 696-2100

10011 Pines Blvd
Ste 202
Pembroke Pines, FL 33024
Phone (754) 217-4181

Organizations & group practices 1

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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1649595646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 PINES BLVD STE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246167",
            "telephone_number": "754-217-4181",
            "fax_number": "754-217-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 PINES BLVD STE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246167",
            "telephone_number": "754-217-4181",
            "fax_number": "754-217-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "MARCELA",
        "middle_name": "JIMENEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "5078",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 129659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.