Healthcare Provider Details

I. General information

NPI: 1083557979
Provider Name (Legal Business Name): NINOSKA SAMAI MARQUINA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16881 SW 142ND PL
MIAMI FL
33177-2033
US

IV. Provider business mailing address

16881 SW 142ND PL
MIAMI FL
33177-2033
US

V. Phone/Fax

Practice location:
  • Phone: 305-720-7219
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number11046392
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: