Individual provider Active NPI

Wendy Marquina, M.D., P.A.-C

  • Family Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1982833166
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME125605 Issued in FL
Practice address
14505 Commerce Way
Ste 750
Miami Lakes, FL 33016-1514
Phone
(305) 362-9989
Fax
(305) 362-1355
NPI assigned
Jul 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME125605 FL
Family Medicine Physician 207Q00000X ME125605 FL Primary

Addresses

Primary practice location

14505 Commerce Way
Ste 750
Miami Lakes, FL 33016-1514

Mailing address

13301 SW 107TH Ave
Miami, FL 33176-6065
Phone (786) 897-1155

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
I20160830001324 FL Practitioner - Family PracticePractitioner - General PracticePractitioner - Allergy/Immunology 2860787835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Allergy/Immunology, General Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diamond Health Medical Care Center IncGroup PAC ID 1456400977, 2 clinicians

Practice addresses (Care Compare)

14505 Commerce Way
Suite 750
Miami Lakes, FL 33016-1514
Phone (305) 362-9989

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Family Medicine CurrentSince Sep 1, 2020 Accepting new patients

Locations

2701 SW 3rd Ave
Ste 101
Miami, FL 33129
Phone (305) 854-8999

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

14505 Commerce Way
Ste 750
Miami Lakes, FL 33016
Phone (305) 362-9989

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1982833166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331766065",
            "telephone_number": "786-897-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 COMMERCE WAY",
            "address_2": "STE 750",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161514",
            "telephone_number": "305-362-9989",
            "fax_number": "305-362-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUINA",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME125605",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME125605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.