Active NPI
Hilda V Marrero
- Developmental Disabilities Clinic/Center
- Miami Gardens, FL
National Provider Identifier
1881153534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- License
- CGC1525611
- Practice address
- 4315 NW 198TH St
Miami Gardens, FL 33055-1831 - Phone
- (305) 343-5663
- NPI assigned
- Mar 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | CGC1525611 | FL | Primary |
Addresses
Primary practice location
4315 NW 198TH St
Miami Gardens, FL 33055-1831
Mailing address
18520 NW 67TH Ave # 336
Hialeah, FL 33015-3302
Phone (305) 343-5663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101198800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CGC1525611 | FL | MD | Developmental Disabilities Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H.L Superior Remodeling Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Miami Gardens, FL
- NPI 1912550955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1881153534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18520 NW 67TH AVE # 336",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330153302",
"telephone_number": "305-343-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 NW 198TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330551831",
"telephone_number": "305-343-5663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "HILDA",
"middle_name": "V",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-12",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "FL",
"license": "CGC1525611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101198800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.