Provider Demographics
NPI:1750724621
Name:NAVARRO MARIN, ANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:ANIEL
Middle Name:
Last Name:NAVARRO MARIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 SW 107TH AVE STE 47
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2492
Mailing Address - Country:US
Mailing Address - Phone:786-332-4577
Mailing Address - Fax:786-332-4367
Practice Address - Street 1:2500 SW 107TH AVE STE 47
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2492
Practice Address - Country:US
Practice Address - Phone:786-332-4577
Practice Address - Fax:786-332-4367
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-10
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME125677207Q00000X
KY49272207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine