Active NPI
Yamile Marles, M.D.
- General Practice Physician
- Doral, FL
National Provider Identifier
1679772933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME98848
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013496100 | Medicaid | FL | |
| 2798883 00 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME98848 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iab Management LLC | Pediatrics | Current | Accepting new patients |
| Zambrano Pediatrics, Inc. | Pediatrics | Current | Accepting new patients |
| F.M. Antonieta Schettino, MD PA | Pediatrics | Past | Accepting new patients |
Locations
8335 NW 12th St
Doral, FL 33126
Phone (786) 464-1444
Interoperability endpoints
- info@eccmedicalgroup.com
- 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.
-
- Pediatrics Physician
- Homestead, FL
- NPI 1750014783
-
- Pediatrics Physician
- Doral, FL
- NPI 1215280615
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.