Individual provider Active NPI

Jose Hernan Martinez Ortega

  • Pediatrics Physician
  • Hollywood, FL
National Provider Identifier
1083287296
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
11013205 Issued in FL
Practice address
4676 Greenway Dr
Hollywood, FL 33021-2144
Phone
(305) 562-6978
NPI assigned
Jul 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN11013205 FL
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 11013205 FL Primary

Addresses

Primary practice location

4676 Greenway Dr
Hollywood, FL 33021-2144

Mailing address

4676 Greenway Dr
Hollywood, FL 33021-2144
Phone (305) 562-6978

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmart758@fiu.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403000434 TX Practitioner - Nurse Practitioner 7113440892 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11013205FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Single Specialty CurrentSince Mar 10, 2025 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Mar 10, 2025 Accepting new patients
University of Miami Single Specialty Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1083287296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 GREENWAY DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212144",
            "telephone_number": "305-562-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4676 GREENWAY DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212144",
            "telephone_number": "305-562-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ ORTEGA",
        "first_name": "JOSE",
        "middle_name": "HERNAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-23",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11013205",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "11013205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmart758@fiu.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4676 Greenway Dr",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330212144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.