Active NPI
Juan B Martinez Jr., M.D
- Pediatrics Physician
- Weston, FL
National Provider Identifier
1093822041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0073596
- Practice address
- 2233 N Commerce Pkwy Ste 2
Weston, FL 33326-3252 - Phone
- (954) 659-0333
- Fax
- (954) 659-0999
- NPI assigned
- Aug 24, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0073596 | FL | Primary |
Addresses
Primary practice location
2233 N Commerce Pkwy Ste 2
Weston, FL 33326-3252
Mailing address
2233 N Commerce Pkwy Ste 2
Weston, FL 33326-3252
Phone (954) 659-0333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253480100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0073596 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Health of Weston, PA | Pediatrics | Current | Accepting new patients |
Locations
2233 N Commerce Pkwy
Ste 2
Weston, FL 33326
Phone (954) 659-0333
Organizations & group practices 1
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": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1093822041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 N COMMERCE PKWY STE 2",
"city": "WESTON",
"state": "FL",
"postal_code": "333263252",
"telephone_number": "954-659-0333",
"fax_number": "954-659-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 N COMMERCE PKWY STE 2",
"city": "WESTON",
"state": "FL",
"postal_code": "333263252",
"telephone_number": "954-659-0333",
"fax_number": "954-659-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JUAN",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0073596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253480100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.