Jose C Martin MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOSE C MARTIN MD PA

Practice address

6850 Coral Way FL 5
Miami, FL 33155-1758

Phone

(305) 265-4441

Fax

(305) 265-4844

NPI assigned

Nov 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jose Celestino MartinNPI 1861429425

Title

Medical Director

Phone

(305) 859-0569

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Jose C Martin MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jose C Martin MD PA

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1063286979
  NPD tax ID
• Jose C Martin MD PA

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1316635634
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Premium Healthcare Holdings, LLLP

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1518587203

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Celestino Martin, MD

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1861429425
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1063667558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SW 69TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552919",
            "telephone_number": "305-412-6323",
            "fax_number": "305-412-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 CORAL WAY FL 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551758",
            "telephone_number": "305-265-4441",
            "fax_number": "305-265-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12905 SW 42nd St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33175",
            "country_code": "US",
            "telephone_number": "305-265-4441",
            "fax_number": "305-265-4844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9220 Sunset Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733259",
            "country_code": "US",
            "telephone_number": "305-412-6323",
            "fax_number": "305-412-6326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSE C MARTIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "CELESTINO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-859-0569"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116511100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065557100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose a Luis MD and Associates PA
• Jose a Nunez MD PA
• Jose a Saliba M D P a
• Jose a. Perez Vila, M. D. , P. a.
• Jose C Martin MD PA
• Jose C Martin MD PA
• Jose Carro MD PA
• Jose E Ribas PA
• Jose F. Cardona MD PA
• Jose Gabriel Medina-Smester PA

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.