Healthcare Provider Details

I. General information

NPI: 1598216665
Provider Name (Legal Business Name): MARLINS MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2016
Last Update Date: 10/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1271 NW 6TH ST # 101
MIAMI FL
33125-4719
US

IV. Provider business mailing address

1271 NW 6TH ST # 101
MIAMI FL
33125-4719
US

V. Phone/Fax

Practice location:
  • Phone: 305-400-8774
  • Fax: 786-313-3425
Mailing address:
  • Phone: 305-400-8774
  • Fax: 786-313-3425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME64467
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FRANCESCO CABRERA
Title or Position: PRESIDENT
Credential: MD
Phone: 305-400-8774