Marina Assisted Living Facility LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11199 Issued in FL

Legal business name

MARINA ASSISTED LIVING FACILITY LLC

Practice address

6702 W Clifton St
Tampa, FL 33634-5012

Phone

(813) 956-2663

Fax

(813) 882-0241

NPI assigned

Feb 4, 2014

Last updated

Feb 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rubert Dominguez

Title

Owner

Phone

(813) 956-2663

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1952725483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 W CLIFTON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345012",
            "telephone_number": "813-956-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 W CLIFTON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345012",
            "telephone_number": "813-956-2663",
            "fax_number": "813-882-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "RUBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-956-2663"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar Marin, INTERN MENTAL HEALTH
• Jenifer Marin
• Jessica Marin, PA-C
• Nayibe D Marin, MS, LMHC
• Ricardo Marin, MD
• Marina Unrod, PHD, LLC
• Marina Waisman MD Steven Yale MD PA
• Carlos Cesar Marinelli, MD
• Nikolin Marini, AP
• Suyen Marino Gutierrez

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.