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SAN MARCUS MEDICAL OFFICE INC. NPI 1821404104


NPI Information

NPI: 1821404104
Provider Name: SAN MARCUS MEDICAL OFFICE, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2006869

Address:
5941 NW 173RD DR
HIALEAH, FL
ZIP 33015
Phone: (786) 615-2713
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SAN MARCUS MEDICAL OFFICE, INC. is a family medicine in Hialeah, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SAN MARCUS MEDICAL OFFICE, INC. NPI is 1821404104. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5941 NW 173RD DR
HIALEAH, FL
ZIP 33015-109
Phone: (786) 615-2713
Fax: (786) 615-3023

The provider's authorized official is Idalia Acosta .
The authorized official title is President/owner and has the following contact phone number (786) 615-2713.

The CLIA number assigned to this NPI record is 10D2006869 - other practitioner with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/7/2014 and was last updated on 7/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineME66961FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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