Individual provider Active NPI

Marco Antonio Fiore Urizar, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Pembroke Pines, FL
National Provider Identifier
1720238074
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME111743 Issued in FL
Practice address
500 N Hiatus Rd # Suire107
Pembroke Pines, FL 33026-5213
Phone
(954) 368-9141
Fax
(954) 451-0836
NPI assigned
Sep 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 62601 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME111743 FL Primary

Addresses

Primary practice location

500 N Hiatus Rd # Suire107
Pembroke Pines, FL 33026-5213

Mailing address

500 N Hiatus Rd Ste 107
Pembroke Pines, FL 33026-5213
Phone (954) 368-9141

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
I20121012000369 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 4587813217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME111743FLMDEndocrinology, Diabetes & Metabolism Physician
62601NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC CurrentSince Oct 1, 2018 Accepting new patients
Florida Hospital Physician Group Inc Endocrinology, Diabetes & Metabolism CurrentSince Oct 28, 2015 Accepting new patients
Comprehensive Nephrology Specialist, LLC Past Accepting new patients

Locations

777 E 25th St
Ste 209
Hialeah, FL 33013
Phone (305) 691-2311

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

3000 SW 148th Ave
Ste 302
Miramar, FL 33027
Phone (954) 353-6336

1 SW 129th Ave
Ste 105
Pembroke Pines, FL 33027
Phone (754) 888-9088

500 N Hiatus Rd
Ste 107
Pembroke Pines, FL 33026
Phone (954) 392-6066

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1720238074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N HIATUS RD STE 107",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265213",
            "telephone_number": "954-368-9141",
            "fax_number": "954-451-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N HIATUS RD # SUIRE107",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265213",
            "telephone_number": "954-368-9141",
            "fax_number": "954-451-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORE URIZAR",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "62601",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME111743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.