MARVICT DERMATOLOGY AND PREVENTIVE CARE INC
NPI 1225647647
Nurse Practitioner - Family in Hialeah, FL

Active since July 31, 2020CLIA 10D2313708 · Waiver
2387 W 68TH ST STE 203, HIALEAH, FL 33016(786) 606-9696 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2025, Sep 22, 2020, Jul 31, 2020 (3 updates tracked since 2020).

About Marvict Dermatology And Preventive Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARVICT DERMATOLOGY AND PREVENTIVE CARE INC (NPI 1225647647) is a healthcare organization registered as a family in Hialeah, Florida and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through November 5, 2026 and lists Idolidia Machado, President, as its authorized official.

NPPES Registry Identity

NPI1225647647
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMARVICT DERMATOLOGY AND PREVENTIVE CARE INC
Location Address2387 W 68TH ST STE 203Hialeah, FL 33016-6890
Mailing Address2596 W 73rd PlHialeah, FL 33016-6503 · (786) 458-7046
Organization SubpartNo
Authorized OfficialIdolidia MachadoPresident · (786) 458-7046
Enumeration DateJuly 31, 2020
Last NPPES UpdateJanuary 3, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1225647647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2387 W 68TH ST STE 203, Hialeah, FL 33016

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2313708

Marvict Dermatology And Preventive Care Inc · Hialeah, FL
Active · expires Nov 5, 2026
CLIA Number10D2313708
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorIdolidia Machado
Laboratory Phone(786) 606-9696
Laboratory LocationMarvict Dermatology And Preventive Care Inc2387 West 68 St Ste 203, Hialeah, FL 33016
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2387 W 68TH ST STE 203
HIALEAH, FL 33016
Home Health
2387 W 68TH ST STE 203
HIALEAH, FL 33016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvict Dermatology And Preventive Care Inc's NPI number?

The NPI number for Marvict Dermatology And Preventive Care Inc is 1225647647. It was assigned to this organization in the NPPES registry on July 31, 2020.

Where is Marvict Dermatology And Preventive Care Inc located?

Marvict Dermatology And Preventive Care Inc is located at 2387 W 68th St Ste 203, Hialeah, FL 33016. The listed phone number is (786) 606-9696.

What is Marvict Dermatology And Preventive Care Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Marvict Dermatology And Preventive Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2313708) is associated with this NPI, valid through November 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marvict Dermatology And Preventive Care Inc was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.