Marbella State Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MARBELLA STATE CORP

Practice address

1550 Madruga Ave Ste 323
Coral Gables, FL 33146-3085

Phone

(786) 298-6595

NPI assigned

Apr 2, 2025

Organization subpart

No

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

Authorized official

Name

Carlos Mirabal

Title

Owner

Phone

(786) 298-6595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1861296477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MADRUGA AVE STE 323",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463085",
            "telephone_number": "786-298-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MADRUGA AVE STE 323",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463085",
            "telephone_number": "786-298-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBELLA STATE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "MIRABAL",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-298-6595"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel a Alzugaray MD PA
• Danielle Nicole Manzano, OTD, OT, HEAS
• Yenileidy Manzano
• Britney Vicioso Marante
• Dayle Del Rosario Marante
• Marc Barbier
• Regine Marcelin
• Brittany Lynn Marcella
• Marcelo J Alfano Psy D PA
• Marcelo M. Ghersi, M.D., P.a.

• Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.