Active NPI
Carlos Miguel Martinez Costa, FNP
- Family Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1114635919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11022982
- Practice address
- 1072 W 64TH St
Hialeah, FL 33012-6417 - Phone
- (786) 630-3894
- Fax
- (786) 534-4540
- NPI assigned
- Nov 10, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11022982 | FL | Primary |
Addresses
Primary practice location
1072 W 64TH St
Hialeah, FL 33012-6417
Mailing address
1072 W 64TH St
Hialeah, FL 33012-6417
Phone (786) 630-3894
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Medcare LLC | Single Specialty | Current | Accepting new patients |
| Comfort Medical Care LLC | Single Specialty | Current | Accepting new patients |
Locations
5881 NW 151st St
Ste 106
Miami Lakes, FL 33014
Phone (305) 818-2004
14100 Palmetto Frntg Rd
Ste 105
Miami Lakes, FL 33016
Phone (786) 205-6161
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAJFDD/Endpoint/IAJFDD
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1114635919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 W 64TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330126417",
"telephone_number": "786-630-3894",
"fax_number": "786-534-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 W 64TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330126417",
"telephone_number": "786-630-3894",
"fax_number": "786-534-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ COSTA",
"first_name": "CARLOS",
"middle_name": "MIGUEL",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-10",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11022982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.