Individual provider Active NPI

Jose Rafael Marichal, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1689690356
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 0076132 Issued in FL
Practice address
11760 SW 40TH St
Suite 347
Miami, FL 33175-3582
Phone
(305) 553-1663
Fax
(305) 553-1786
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 0076132 FL Primary

Addresses

Primary practice location

11760 SW 40TH St
Suite 347
Miami, FL 33175-3582

Mailing address

11760 SW 40TH St
Suite 347
Miami, FL 33175-3582
Phone (305) 553-1663

Other identifiers 1

IdentifierTypeStateIssuer
256894200MedicaidFL

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
I20070319000071 FL Practitioner - Internal Medicine 1557464229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marichal and Prieto MD PAGroup PAC ID 1658474325, 2 clinicians

Practice addresses (Care Compare)

9400 SW 137 Ave
Miami, FL 33186-1434
Phone (305) 385-8290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0076132FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marichal & Prieto MD PA CurrentSince Jan 1, 2007 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine Current Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients

Locations

9400 SW 137th Ave
Miami, FL 33186
Phone (305) 385-8290

11760 SW 40th St
Ste 347
Miami, FL 33175
Phone (305) 553-1663

11760 SW 40th St
Ste 429
Miami, FL 33175
Phone (305) 553-1663

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFAFCD/Endpoint/BFAFCD

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689690356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 347",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-553-1663",
            "fax_number": "305-553-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 347",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-553-1663",
            "fax_number": "305-553-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARICHAL",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 0076132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256894200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.