Individual provider Active NPI

Alvaro Martin Menjivar, MD

  • Pulmonary Disease Physician
  • Daytona Beach, FL
National Provider Identifier
1134537111
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MEQ44537 Issued in FL
Practice address
305 Memorial Medical Pkwy Ste 307
Daytona Beach, FL 32117-5169
Phone
(386) 231-4351
Fax
(386) 231-4352
NPI assigned
Jul 23, 2014
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME144537 FL
Pulmonary Disease Physician 207RP1001X MEQ44537 FL Primary

Addresses

Primary practice location

305 Memorial Medical Pkwy Ste 307
Daytona Beach, FL 32117-5169

Mailing address

PO Box 935921
Atlanta, GA 31193-5921

Other practice location 1

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-7283

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200512001667 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1153752985 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

2501 N Orange Ave
Suite 401
Orlando, FL 32804-4644
Phone (407) 303-7283

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME144537FLMDCritical Care Medicine (Internal Medicine) Physician
MEQ44537FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Pulmonary Group PA Pulmonary Disease CurrentSince Jul 1, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 27, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 27, 2020 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Feb 11, 2025 Accepting new patients

Locations

610 Jasmine Rd
Altamonte Springs, FL 32701
Phone (407) 385-1332

301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-3906

305 Memorial Medical Pkwy
Ste 307
Daytona Beach, FL 32117
Phone (386) 231-3512

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

1115 E Ridgewood St
Orlando, FL 32803
Phone (407) 841-1100

2501 N Orange Ave
Ste 401
Orlando, FL 32804

326 N Mills Ave
Orlando, FL 32803
Phone (407) 841-1100

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: alvaro.martinmenjivar.p1@direct.cfpg.nextgenshare.com
  • Direct secure messaging: amartinmenjivar127745@adventhealth.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1134537111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935921",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311935921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 307",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175169",
            "telephone_number": "386-231-4351",
            "fax_number": "386-231-4352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031248",
            "country_code": "US",
            "telephone_number": "407-303-7283",
            "fax_number": "407-303-0347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN MENJIVAR",
        "first_name": "ALVARO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME144537",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "MEQ44537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.