Organization Active NPI

Marin Medical Center Inc

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1922130699
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARIN MEDICAL CENTER INC
Practice address
1035 E 4TH Ave
Hialeah, FL 33010-4103
Phone
(305) 403-5710
Fax
(305) 403-5711
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Jorlen Rodriguez
Title
Pres
Phone
(305) 403-5710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1035 E 4TH Ave
Hialeah, FL 33010-4103

Mailing address

1035 E 4TH Ave
Hialeah, FL 33010-4103
Phone (305) 403-5710

Other identifiers 1

IdentifierTypeStateIssuer
AD659OtherFLMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1922130699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104103",
            "telephone_number": "305-403-5710",
            "fax_number": "305-403-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104103",
            "telephone_number": "305-403-5710",
            "fax_number": "305-403-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JORLEN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "305-403-5710"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "AD659",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • 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.