Individual provider Active NPI

Yamile Marles, M.D.

  • General Practice Physician
  • Doral, FL
National Provider Identifier
1679772933
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME98848 Issued in FL
Practice address
8335 NW 12TH St
Doral, FL 33126-1841
Phone
(786) 464-1444
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME98848 FL
General Practice Physician 208D00000X ME98848 FL
General Practice Physician 208D00000X ME98848 FL Primary

Addresses

Primary practice location

8335 NW 12TH St
Doral, FL 33126-1841

Mailing address

8335 NW 12TH St
Doral, FL 33126-1841
Phone (786) 464-1444

Other identifiers 2

IdentifierTypeStateIssuer
013496100MedicaidFL
2798883 00MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address INFO@ECCMEDICALGROUP.COM Direct

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME98848FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iab Management LLC Pediatrics CurrentSince Oct 10, 2021 Accepting new patients
Zambrano Pediatrics, Inc. Pediatrics Current Accepting new patients
F.M. Antonieta Schettino, MD PA Pediatrics PastSince Oct 10, 2021 Accepting new patients

Locations

8335 NW 12th St
Doral, FL 33126
Phone (786) 464-1444

Interoperability endpoints

  • Direct secure messaging: info@eccmedicalgroup.com
  • FHIR API: https://api.platform.athenahealth.com/10501/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1679772933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 NW 12TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261841",
            "telephone_number": "786-464-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 NW 12TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261841",
            "telephone_number": "786-464-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLES",
        "first_name": "YAMILE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME98848",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME98848",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME98848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013496100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2798883 00",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@ECCMEDICALGROUP.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DORAL",
            "address_1": "8335 NW 12th St",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331261841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.