Individual provider Active NPI

Carlos Miguel Marill, M.D., P.A.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1700817574
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME44925 Issued in FL
Practice address
11440 N Kendall Dr Ste 206
Miami, FL 33176-1024
Phone
(305) 598-8622
Fax
(786) 497-2881
NPI assigned
Jul 6, 2006
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME44925 FL Primary

Addresses

Primary practice location

11440 N Kendall Dr Ste 206
Miami, FL 33176-1024

Mailing address

11440 N Kendall Dr Ste 206
Miami, FL 33176-1024
Phone (305) 598-8622

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
I20040720001063 FL Practitioner - Family Practice 2567442775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11440 N Kendall Dr
Suite 206
Miami, FL 33176-1024
Phone (305) 598-8622

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Mental Health Care Center Inc PastSince Sep 1, 2009 Accepting new patients
Better Care of Broward Medical Center Inc Family Medicine Past Accepting new patients
Hakop Hrachian MD PA Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1700817574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 N KENDALL DR STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761024",
            "telephone_number": "305-598-8622",
            "fax_number": "786-497-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 N KENDALL DR STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761024",
            "telephone_number": "305-598-8622",
            "fax_number": "786-497-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARILL",
        "first_name": "CARLOS",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME44925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.