Richard Alfredo Mariduena

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN11024378 Issued in FL

Practice address

714 NW 62ND St
Miami, FL 33150-4332

Phone

(786) 655-0529

NPI assigned

Apr 10, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctor United Group IncGroup PAC ID 0547696452, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Doctor United Group Inc

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1124581632
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1992490668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8187 NW 8TH ST APT 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262895",
            "telephone_number": "786-512-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504332",
            "telephone_number": "786-655-0529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8187 NW 8th St Apt 213",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331262895",
            "country_code": "US",
            "telephone_number": "786-512-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 S Federal Hwy Unit 329",
            "address_purpose": "LOCATION",
            "city": "Dania Beach",
            "state": "FL",
            "postal_code": "330044101",
            "country_code": "US",
            "telephone_number": "877-384-6337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIDUENA",
        "first_name": "RICHARD",
        "middle_name": "ALFREDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11024378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Rosario Marichal Gonzalez
• Edgar Ayan Marichal Ramos
• Jose Rafael Marichal, M.D.
• Mabel Marichal, PA
• Ruben Marichal, RBT
• Marie Dessalines
• Marie Munoz Consulting
• Carolin Margit Marie, CRNA
• Mariela Urbina MD, PA
• Anne Marien Ruiz Mijares

• Gerontology Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.