Individual provider Active NPI

Fernando Marroquin, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1649723875
Registry record updated Jul 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9276867 Issued in FL
Practice address
1223 SW 138TH PL
Miami, FL 33184-2752
Phone
(786) 556-6770
NPI assigned
Jul 23, 2016
Last updated
Jul 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9276867 FL
Family Nurse Practitioner 363LF0000X 9276867 FL Primary

Addresses

Primary practice location

1223 SW 138TH PL
Miami, FL 33184-2752

Mailing address

1223 SW 138TH PL
Miami, FL 33184-2752
Phone (786) 556-6770

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
I20190218002635 FL Practitioner - Nurse Practitioner 9335487248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Henry E Paez M D P aGroup PAC ID 2567553720, 2 clinicians
Family Medicine Home Visits IncGroup PAC ID 4183972151, 3 clinicians
Alfredo Melgar MD PAGroup PAC ID 9537310644, 7 clinicians

Practice addresses (Care Compare)

1898 SW 27TH Ave
Suite 1
Miami, FL 33145-2445
Phone (305) 447-8777

9090 SW 87TH CT
Suite 104
Miami, FL 33176-2317
Phone (305) 848-3998

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9276867FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry E Paez M D P a CurrentSince Jun 1, 2019 Accepting new patients
Family Medicine Home Visits Inc CurrentSince Jun 1, 2019 Accepting new patients

Locations

1898 SW 27th Ave
Ste 1
Miami, FL 33145
Phone (305) 447-8777

Organizations & group practices 3

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": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1649723875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 SW 138TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842752",
            "telephone_number": "786-556-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 SW 138TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842752",
            "telephone_number": "786-556-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARROQUIN",
        "first_name": "FERNANDO",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-23",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9276867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9276867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.