Individual provider Active NPI

Rosa Maria Marin, M.D.

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1922165539
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0074617 Issued in FL
Practice address
115 SE 4TH St
Boynton Beach, FL 33435-4905
Phone
(561) 732-2701
Fax
(561) 732-0354
NPI assigned
Jan 2, 2007
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME74617 FL
Internal Medicine Physician 207R00000X ME0074617 FL Primary

Addresses

Primary practice location

115 SE 4TH St
Boynton Beach, FL 33435-4905

Mailing address

115 SE 4TH St
Boynton Beach, FL 33435-4905
Phone (561) 732-2701

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rosamarinmd@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000755 FL Practitioner - Internal Medicine 4183795651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jorge L. Macia, M.D.and Rosa M. Marin M.D.P.aGroup PAC ID 3173542529, 2 clinicians

Practice addresses (Care Compare)

115 SE 4TH St
Boynton Beach, FL 33435-4905
Phone (561) 732-2701

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0074617FLMDInternal Medicine Physician
ME74617FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge L. Macia, M.D.& Rosa M. Marin M.D.P.a. CurrentSince May 21, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

115 SE 4th St
Boynton Beach, FL 33435
Phone (561) 732-2701

Interoperability endpoints

  • Direct secure messaging: rosamarinmd@direct.practicefusion.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1922165539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SE 4TH ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354905",
            "telephone_number": "561-732-2701",
            "fax_number": "561-732-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SE 4TH ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354905",
            "telephone_number": "561-732-2701",
            "fax_number": "561-732-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME74617",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0074617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rosamarinmd@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA",
            "address_1": "115 SE 4th St",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334354905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.