Marirene Margarita Salazar, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9103693 Issued in FL

Practice address

2731 Executive Park Dr Ste 4
Weston, FL 33331-3619

Phone

(954) 302-8382

Fax

(954) 626-3658

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Marirene Margarita Fernandez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1689776072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 71 STREET",
            "address_2": "SUITE 620",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413089",
            "telephone_number": "954-554-8087",
            "fax_number": "877-284-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 EXECUTIVE PARK DR STE 4",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313619",
            "telephone_number": "954-302-8382",
            "fax_number": "954-626-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "MARIRENE",
        "middle_name": "MARGARITA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00769974",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIRENE",
            "last_name": "FERNANDEZ",
            "middle_name": "MARGARITA",
            "prefix": "MS.",
            "credential": "P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lewjain Sakr, MD
• Ebram Maher Salama, MD
• Oriana Katalina Salamo Colletti, MD
• Yuri Salas Espinosa, M.D.
• Maria M Salazar
• Leah A Salciccioli
• Josimar Saldana Torres, PH.D.
• Robert Mitchell Saldivar, MD
• Efrain D Salgado, M.D.
• Carlos Alberto Salgueiro, MD

• Medical Physician Assistant in Weston, FL
• Providers in Weston, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.