Marina Lakes Medical Center Corp

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

HCC7752 Issued in FL

Legal business name

MARINA LAKES MEDICAL CENTER CORP

Practice address

4960 SW 72ND Ave
Suite 304
Miami, FL 33155-5544

Phone

(305) 740-9889

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Yolanda Driggs

Title

President

Phone

(786) 277-5669

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1811197114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE",
            "address_2": "SUITE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555544",
            "telephone_number": "305-740-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE",
            "address_2": "SUITE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555544",
            "telephone_number": "305-740-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA LAKES MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DRIGGS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-277-5669"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC7752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Marin
• Yamile Marin, COTA
• Yanely Marin, RBT
• Yanet Marin
• Marina Home Care Corp
• Marjorie Nicole Marine
• Camila Desire Marinella
• Carla Marinello, M.D.
• Marines Medical Equipment, Inc.
• Marisel Marino Escalona, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.