Active NPI
Marin Foot & Ankle Center PA
- Foot & Ankle Surgery Podiatrist
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- MARIN FOOT & ANKLE CENTER PA
- Practice address
- 3410 W 84TH St Ste 100
Hialeah, FL 33018-4906 - Phone
- (305) 826-7774
- Fax
- (305) 826-5505
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luis E Marin, DPM
- Title
- President
- Phone
- (305) 826-7774
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
3410 W 84TH St Ste 100
Hialeah, FL 33018-4906
Mailing address
13825 NW 22ND St
Sunrise, FL 33323-5303
Phone (305) 826-7774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390286201 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2128852 | Marin Foot and Ankle Center, PA | Certificate of waiver | Apr 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
3412 W 84th St
Hialeah, FL 33018
Phone (305) 821-8889
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Hialeah, FL
- NPI 1134116379
-
- Foot & Ankle Surgery Podiatrist
- Miami, FL
- NPI 1619373818
-
- Foot & Ankle Surgery Podiatrist
- Weston, FL
- NPI 1104069079
-
- Foot & Ankle Surgery Podiatrist
- Margate, FL
- NPI 1659368892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220572800000",
"number": "1700812260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13825 NW 22ND ST",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333235303",
"telephone_number": "305-826-7774",
"fax_number": "305-826-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 W 84TH ST STE 100",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330184906",
"telephone_number": "305-826-7774",
"fax_number": "305-826-5505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIN FOOT & ANKLE CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2008-09-05",
"status": "A",
"authorized_official_last_name": "MARIN",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-826-7774",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390286201",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.