Individual provider Active NPI

Gabriel Martinez, DC

  • Chiropractor
  • North Miami Beach, FL
National Provider Identifier
1093298432
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12483 Issued in FL
Practice address
177 NE 167TH St
North Miami Beach, FL 33162-3404
Phone
(305) 651-8100
NPI assigned
Sep 12, 2018
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12483 FL Primary

Addresses

Primary practice location

177 NE 167TH St
North Miami Beach, FL 33162-3404

Mailing address

2345 NE 135TH St Apt 101
North Miami, FL 33181-3546
Phone (787) 568-5243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200117000150 FL Practitioner - Chiropractic 0143655332 Reassigns benefits to 1 organization
I20260514004609 PR Practitioner - Chiropractic 0143655332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 Calle Tetuan
Apt 301
San Juan, PR 00901

C3 Calle Marginal
Dorado, PR 00646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12483FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Active Chiropractic & Wellness LLC Chiropractor CurrentSince Mar 21, 2026 Accepting new patients
Maan Chiropractic LLC Chiropractor CurrentSince Dec 1, 2022 Accepting new patients

Locations

1240 N University Dr
#2
Coral Springs, FL 33071
Phone (954) 225-4007

8100 Royal Palm Blvd
Ste 106
Coral Springs, FL 33065
Phone (954) 225-4007

C3 Calle Marginal
Dorado, PR 00646
Phone (939) 396-0596

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.

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1093298432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 NE 135TH ST APT 101",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813546",
            "telephone_number": "787-568-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 NE 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623404",
            "telephone_number": "305-651-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GABRIEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.

Verify at the official NPI Registry.