Edgar a Marin MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME93016 Issued in FL

Legal business name

EDGAR A MARIN MD PA

Practice address

12813 SW 42ND St
Miami, FL 33175-3424

Phone

(305) 220-0352

Fax

(305) 220-0354

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Edgar A Marin, MD

Title

President

Phone

(305) 220-0352

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1750469060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 SW 150TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942580",
            "telephone_number": "305-220-0352",
            "fax_number": "305-220-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12813 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753424",
            "telephone_number": "305-220-0352",
            "fax_number": "305-220-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR A MARIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-220-0352",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME93016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Medical Center, LLC
• Eden Medical Center, LLC
• Eden Rehab and Spa Inc
• Eden Rejuvenation Aesthetics LLC
• Edf Group Inc
• Edgar Facuseh, P.L.
• Angela Marie Edgar
• Edgardo M Cespedes M D P a
• Tawanna Levonne Edgecomb, CRNA
• Edimar Home Health Care Corp

• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.