NPIMap

Organization Active NPI

Ocean Reef Medical Institute, LLC

  • Primary Care Clinic/Center
  • Miami Springs, FL
National Provider Identifier
1780477802
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
OCEAN REEF MEDICAL INSTITUTE, LLC
Practice address
4471 NW 36TH St Ste 230
Miami Springs, FL 33166-7289
Phone
(786) 238-7335
NPI assigned
May 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Maria Amanda Trejos
Title
Ceo
Phone
(786) 859-1918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4471 NW 36TH St Ste 230
Miami Springs, FL 33166-7289

Mailing address

4471 NW 36TH St Ste 230
Miami Springs, FL 33166-7289
Phone (786) 238-7335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230913003972 FL Part B Supplier - Clinic/Group Practice 8628432317 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Miami Springs, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ocean Reef Medical Institute LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4471 NW 36th St
Ste 230
Miami Springs, FL 33166
Phone (786) 238-7335

Practitioners & affiliated clinicians

Practitioners 11

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": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1780477802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4471 NW 36TH ST STE 230",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667289",
            "telephone_number": "786-238-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 NW 36TH ST STE 230",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667289",
            "telephone_number": "786-238-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN REEF MEDICAL INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "TREJOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-859-1918"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.