Active NPI
Giovanni Marcos, RD LD
- Renal Nutrition Registered Dietitian
- Miami, FL
National Provider Identifier
1740697861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- ND 5340
- Practice address
- 3661 S Miami Ave
402
Miami, FL 33133-4236 - Phone
- (305) 219-5200
- NPI assigned
- Jul 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | ND 5340 | FL | |
| Registered Dietitian | 133V00000X | ND 5340 | FL | |
| Renal Nutrition Registered Dietitian | 133VN1005X | ND 5340 | FL | Primary |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | ND 5340 | FL |
Addresses
Primary practice location
3661 S Miami Ave
402
Miami, FL 33133-4236
Mailing address
7633 SW 62ND Ave
South Miami, FL 33143-4906
Phone (305) 219-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 5340 | FL | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1740697861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7633 SW 62ND AVE",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434906",
"telephone_number": "305-219-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 S MIAMI AVE",
"address_2": "402",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334236",
"telephone_number": "305-219-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCOS",
"first_name": "GIOVANNI",
"credential": "RD LD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-21",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "FL",
"license": "ND 5340",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 5340",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "FL",
"license": "ND 5340",
"primary": true
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "FL",
"license": "ND 5340",
"primary": false
}
],
"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 Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.