Organization Active NPI

Marin Foot & Ankle Center PA

  • Foot & Ankle Surgery Podiatrist
  • Hialeah, FL
National Provider Identifier
1700812260
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Dr. Luis E Marin, DPMNPI 1134116379
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
390286201MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060810000506 FL Part B Supplier - Clinic/Group Practice 8426051582 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL; Hialeah, 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
10D2128852Marin Foot and Ankle Center, PA3410 West 84TH Street Ste 100, Hialeah, FL 33018Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.