Eduardo A. Martinez, D.C. – Chiropractor

Key facts

NPI: 1003926528
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: CH7418 (FL)
Practice address: 3151 SW 27TH Ave
Coconut Grove, FL 33133-4634
Phone: (305) 443-4636
Fax: (305) 442-4641
NPI assigned: Aug 30, 2006
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

Coconut Grove Chiropractic, Inc Chiropractor · Coconut Grove, FL · NPI 1962695387

Medicare reassignment NPD CHIROPRACTOR · FL
DC Health Management Inc Clinic/Center · Coral Gables, FL · NPI 1558348805

NPD (past)

Medicare Care Compare profile

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

Medicare participation

Medicare fee-for-service enrollment: Enrolled in FL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20040407001270	FL	Practitioner - Chiropractic	8820081458	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
CH7418	FL	MD	Chiropractor

Practice roles (2 of 12)

Organization	Specialty	Status	New patients
Coconut Grove Chiropractic, Inc	Chiropractor	Current since Oct 11, 2005	Accepting new patients
DC Health Management Inc		Past	Accepting new patients

Locations

3400 Coral Way
Ste 101
Miami, FL 33145
Phone (305) 443-4636

3390 SW 22nd St
Miami, FL 33145
Phone (305) 443-4636

Networks

devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
FL HMO
devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
AL HMO D-SNP
FL HMO C-SNP
devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
AL HMO
devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
FL HMO D-SNP
devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	CH7418	FL	Yes

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

Identifier	Type	State	Issuer
55778	Other	FL	BLUE CROSS/BLUE SHIELD ID

Other providers in Coconut Grove, FL

Whitney S Maldonado, D.C.
Elizabeth Leigh Maples, DPT
Mariano Busso MD PA
Melannie Marrero, RBT
Beatriz Martinez, LMHC
Felipe Martinez, BS
Edward Terence McGinley, A.P., D.O.M., L.AC.
Nadeen B Medvin, PH.D.
Miami Hand PLLC
Miami Hand, Plastic & Reconstructive Center LLC

All providers in Coconut Grove, FL · Chiropractor in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.