Active NPI
Mirna B. Cajina, MD
- General Practice Physician
- Fort Lauderdale, FL
National Provider Identifier
1932314028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME0085490
- Practice address
- 3333 W Commercial Blvd
Suite 101
Fort Lauderdale, FL 33309-3441 - Phone
- (954) 748-2800
- Fax
- (954) 748-6003
- NPI assigned
- May 11, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME0085490 | FL | Primary |
Addresses
Primary practice location
3333 W Commercial Blvd
Suite 101
Fort Lauderdale, FL 33309-3441
Mailing address
4131 NW 13TH Street
Suite 101
Gainesville, FL 32609-1858
Phone (352) 376-1887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51497 | Other | FL | BCBS |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0085490 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932314028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 NW 13TH STREET",
"address_2": "SUITE 101",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326091858",
"telephone_number": "352-376-1887",
"fax_number": "352-375-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W COMMERCIAL BLVD",
"address_2": "SUITE 101",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093441",
"telephone_number": "954-748-2800",
"fax_number": "954-748-6003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAJINA",
"first_name": "MIRNA",
"middle_name": "B.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME0085490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51497",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.