Healthcare Provider Details

I. General information

NPI: 1184554172
Provider Name (Legal Business Name): J & A MARRERO MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2381 SW 81ST AVE
MIAMI FL
33155-1234
US

IV. Provider business mailing address

2381 SW 81ST AVE
MIAMI FL
33155-1234
US

V. Phone/Fax

Practice location:
  • Phone: 786-390-1614
  • Fax:
Mailing address:
  • Phone: 786-390-1614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARIADNA MARRERO
Title or Position: VICE PREDIDENT
Credential: APRN
Phone: 786-390-1614