Individual provider Active NPI

Idania Martinez, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1114583218
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002085 Issued in FL
Practice address
1975 W 76TH St
Hialeah, FL 33014-3269
Phone
(786) 703-1535
NPI assigned
May 14, 2019
Last updated
Sep 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11002085 FL Primary

Addresses

Primary practice location

1975 W 76TH St
Hialeah, FL 33014-3269

Mailing address

4341 SW 160TH Ave Apt 104
Miramar, FL 33027-5749
Phone (786) 290-9087

Other practice location 1

6738 W Sunrise Blvd Ste 102
Plantation, FL 33313-6070
Phone (954) 603-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190703000037 FL Practitioner - Nurse Practitioner 9436483971 Practice locations: Hialeah, FL; Plantation, FL

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1114583218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 SW 160TH AVE APT 104",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275749",
            "telephone_number": "786-290-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 W 76TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143269",
            "telephone_number": "786-703-1535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6738 W Sunrise Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333136070",
            "country_code": "US",
            "telephone_number": "954-603-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "IDANIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.