Active NPI
Eduardo A. Martinez, D.C.
- Chiropractor
- Coconut Grove, FL
National Provider Identifier
1003926528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7418
- Practice address
- 3151 SW 27TH Ave
Coconut Grove, FL 33133-4634 - Phone
- (305) 443-4636
- Fax
- (305) 442-4641
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7418 | FL | Primary |
Addresses
Primary practice location
3151 SW 27TH Ave
Coconut Grove, FL 33133-4634
Mailing address
3151 SW 27TH Ave
Coconut Grove, FL 33133-4634
Phone (305) 443-4636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55778 | Other | FL | BLUE CROSS/BLUE SHIELD ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3400 Coral Way
Suite 101
Miami, FL 33145-3053
Phone (305) 443-4636
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coconut Grove Chiropractic, Inc | Chiropractor | Current | Accepting new patients |
| DC Health Management Inc | Past | Accepting new patients |
Locations
3390 SW 22nd St
Miami, FL 33145
Phone (305) 445-1521
3400 Coral Way
Ste 101
Miami, FL 33145
Phone (305) 443-4636
Networks
- FL HMO
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- FL HMO D-SNP
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- FL HMO C-SNP
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Coconut Grove, FL
- NPI 1962695387
-
- Clinic/Center
- Coral Gables, FL
- NPI 1558348805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1003926528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151 SW 27TH AVE",
"city": "COCONUT GROVE",
"state": "FL",
"postal_code": "331334634",
"telephone_number": "305-443-4636",
"fax_number": "305-442-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 SW 27TH AVE",
"city": "COCONUT GROVE",
"state": "FL",
"postal_code": "331334634",
"telephone_number": "305-443-4636",
"fax_number": "305-442-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "EDUARDO",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD ID",
"identifier": "55778",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Grove, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.