Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marielys Cantillo

Individual provider Family Nurse Practitioner · NPI 1124722095

Marielys Cantillo is a Nurse Practitioner in Miami, Florida. Qualified in 2022, 4 years ago. Practices with Sji Medical PA, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

1479 NW 27th Ave
Miami, FL 33125-2133
Phone: (305) 633-3776
Fax: (305) 633-3776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11024556 (FL)

Record details

NPI number1124722095
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 27, 2023
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024
Mailing address1479 Nw 27th Ave, Miami, FL 33125-2133

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sji Medical Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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