Organization Active NPI

Maria a Molina Aprn PA

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1700529781
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MARIA A MOLINA APRN PA
Practice address
10300 SW 72ND St Ste 356
Miami, FL 33173-3020
Phone
(786) 703-8061
Fax
(786) 801-1547
NPI assigned
Apr 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Maria de Los Angeles Molina
Title
Cfo
Phone
(786) 703-8061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10300 SW 72ND St Ste 356
Miami, FL 33173-3020

Mailing address

10300 SW 72ND St Ste 356
Miami, FL 33173-3020
Phone (786) 703-8061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220502000715 FL Part B Supplier - Clinic/Group Practice 9830586395 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2246137Maria a Molina Aprn PA10300 SW 72ND St Suite 356, Miami, FL 33173Certificate of waiverDec 20, 2027

National Provider Directory

National Provider Directory

Locations

10300 SW 72nd St
Ste 356
Miami, FL 33173
Phone (786) 703-8061

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1700529781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 356",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733020",
            "telephone_number": "786-703-8061",
            "fax_number": "786-801-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 356",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733020",
            "telephone_number": "786-703-8061",
            "fax_number": "786-801-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA A MOLINA APRN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "MARIA DE LOS ANGELES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "786-703-8061"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.