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SAN MARCUS MEDICAL OFFICE, INC.
NPI 1821404104
Family Medicine in Hialeah, FL

Active since July 07, 2014CLIA 10D2085854 · Waiver
5941 NW 173RD DR, HIALEAH, FL 33015(786) 615-2713(786) 615-3023 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Marcus Medical Office, Inc. NPPES

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

SAN MARCUS MEDICAL OFFICE, INC. (NPI 1821404104) is a healthcare organization registered as a family medicine in Hialeah, Florida and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists Idalia Acosta, President/owner, as its authorized official.

NPPES Registry Identity

NPI1821404104
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAN MARCUS MEDICAL OFFICE, INC.
Location Address5941 NW 173RD DRHialeah, FL 33015-5109
Mailing Address5941 Nw 173rd DrHialeah, FL 33015-5109 · (786) 615-2713 · Fax (786) 615-3023
Phone(786) 615-2713
Fax(786) 615-3023
Organization SubpartNo
Authorized OfficialIdalia AcostaPresident/owner · (786) 615-2713
Enumeration DateJuly 7, 2014
✔ NPI 1821404104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME66961
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5941 NW 173RD DR, Hialeah, FL 33015
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 10D2085854

San Marcus Medical Office Inc · Miami Lakes, FL
Active · expires Oct 22, 2026
CLIA Number10D2085854
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorIdalia A. Acosta
Laboratory Phone(786) 615-2713
Laboratory LocationSan Marcus Medical Office Inc16420 NW 59 Ave, Miami Lakes, FL 33014
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 5

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

NEW LIFE CARE CENTER INC,
Health Maintenance Organization
5941 NW 173RD DR, SUITE 6
HIALEAH, FL 33015
Miami-Dade County (305) 705-3014
DNDM HEALTH AND MEDICAL CENTER, LLC
General Practice
5941 NW 173RD DR, SUITE 1
HIALEAH, FL 33015
Miami-Dade County (305) 321-3757
SOUTHERN DIAGNOSTIC INC
Radiologic Technologist (Vascular Sonography)
5941 NW 173RD DR, SUITE 2
HIALEAH, FL 33015
Miami-Dade County (305) 642-7767
M CUESTA TORRES MD PA
Family Medicine
5941 NW 173RD DR, SUITE B-6
HIALEAH, FL 33015
Miami-Dade County (786) 615-2713
ENRIQUE AGUSTIN GONZALEZ-PUJOL M.D.
Family Medicine
5941 NW 173RD DR, 6
MIAMI, FL 33015
Miami-Dade County (305) 705-3014

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 San Marcus Medical Office, Inc.'s NPI number?

The NPI number for San Marcus Medical Office, Inc. is 1821404104. It was assigned to this organization in the NPPES registry on July 7, 2014.

Where is San Marcus Medical Office, Inc. located?

San Marcus Medical Office, Inc. is located at 5941 NW 173rd Dr, Hialeah, FL 33015. The listed phone number is (786) 615-2713.

What is San Marcus Medical Office, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does San Marcus Medical Office, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2085854) is associated with this NPI, valid through October 22, 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 San Marcus Medical Office, Inc. was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.