Active NPI
Marlene S Fletcher, M.D.
- Family Medicine Physician
- Miami Lakes, FL
National Provider Identifier
1679659734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 45221
- Practice address
- 6447 Miami Lakes Dr E
Ste. 210G
Miami Lakes, FL 33014-2741 - Phone
- (305) 826-3535
- Fax
- (305) 826-3737
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME 45221 | FL | Primary |
Addresses
Primary practice location
6447 Miami Lakes Dr E
Ste. 210G
Miami Lakes, FL 33014-2741
Mailing address
6447 Miami Lakes Dr E
Ste. 210G
Miami Lakes, FL 33014-2741
Phone (305) 826-3535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 45221 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shores Diagnostic Center Inc | Past | Accepting new patients | |
| Nilza Kallos, M.D., P.a. | Past | Accepting new patients | |
| Coral Gables MRI Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Coral Gables, FL
- NPI 1336236363
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1407908908
-
- Diagnostic Radiology Physician
- El Portal, FL
- NPI 1376675538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679659734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6447 MIAMI LAKES DR E",
"address_2": "STE. 210G",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142741",
"telephone_number": "305-826-3535",
"fax_number": "305-826-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6447 MIAMI LAKES DR E",
"address_2": "STE. 210G",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142741",
"telephone_number": "305-826-3535",
"fax_number": "305-826-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "MARLENE",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 45221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.