NPIMap

Organization Active NPI

Omar F Medina-Marenco DO PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1831352293
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS9040 Issued in FL
Legal business name
OMAR F MEDINA-MARENCO DO PA
Practice address
1898 SW 27TH Ave
Suite # 1
Miami, FL 33145-2445
Phone
(305) 447-8777
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Omar F Medina-Marenco, DO
Title
President
Phone
(305) 510-2586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS9040 FL Primary

Addresses

Primary practice location

1898 SW 27TH Ave
Suite # 1
Miami, FL 33145-2445

Mailing address

PO Box 831419
Miami, FL 33283-1419
Phone (305) 510-2586

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1831352293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831419",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332831419",
            "telephone_number": "305-510-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 SW 27TH AVE",
            "address_2": "SUITE # 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452445",
            "telephone_number": "305-447-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR F MEDINA-MARENCO DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "MEDINA-MARENCO",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-510-2586",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9040",
            "primary": true
        }
    ],
    "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 Jun 10, 2009; 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.