Organization Active NPI

Cmla Medical Center LLC

Doing business as Centro Medico Latino

  • General Practice Physician
  • West Palm Beach, FL
National Provider Identifier
1114757044
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CMLA MEDICAL CENTER LLC
Doing business as
Centro Medico Latino
Practice address
1217 S Military TRL Ste C
West Palm Beach, FL 33415-4600
Phone
(561) 342-5000
NPI assigned
Aug 5, 2024
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Ricardo A Martinez, NHA
Title
Manager
Phone
(786) 423-9423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

1217 S Military TRL Ste C
West Palm Beach, FL 33415-4600

Mailing address

1217 S Military TRL Ste C
West Palm Beach, FL 33415-4600
Phone (561) 342-5000

Other names 1

  • Centro Medico Latino Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241023004642 FL Part B Supplier - Clinic/Group Practice 0244771947 Receives reassigned benefits from 2 practitioners
Practice locations: West Palm Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2313383Cmla Medical Center LLC1217 S Military TRL Suite C, West Palm Beach, FL 33415Certificate of waiverOct 29, 2026

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1114757044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S MILITARY TRL STE C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334154600",
            "telephone_number": "561-342-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S MILITARY TRL STE C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334154600",
            "telephone_number": "561-342-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMLA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-423-9423",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Medico Latino",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centro Medico Latino",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.