Healthcare Provider Details

I. General information

NPI: 1891101135
Provider Name (Legal Business Name): DANIEL MARIN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9195 SW 72ND ST STE 100
MIAMI FL
33173-3488
US

IV. Provider business mailing address

PO BOX 430955
MIAMI FL
33243-0955
US

V. Phone/Fax

Practice location:
  • Phone: 786-517-4577
  • Fax: 786-364-7330
Mailing address:
  • Phone: 786-517-4577
  • Fax: 305-595-6179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL RODRIGO MARIN
Title or Position: OWNER
Credential: M.D.
Phone: 786-517-4577