Individual provider Active NPI

Juan M Martinez Oliva

  • Homemaker
  • Orlando, FL
National Provider Identifier
1164010443
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
237018 Issued in FL
Practice address
8865 Commodity Cir
Orlando, FL 32819-9077
Phone
(321) 240-8210
NPI assigned
Jan 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 237018 FL Primary

Addresses

Primary practice location

8865 Commodity Cir
Orlando, FL 32819-9077

Mailing address

8865 Commodity Cir
Orlando, FL 32819-9077
Phone (321) 240-8210

Other identifiers 1

IdentifierTypeStateIssuer
237018MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juan.oliva@extremehomecareinc.com Direct

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

State licenses

LicenseStateTypeSpecialty
237018FLMDHomemaker

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1164010443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 COMMODITY CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199077",
            "telephone_number": "321-240-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 COMMODITY CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199077",
            "telephone_number": "321-240-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ OLIVA",
        "first_name": "JUAN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "237018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237018",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juan.oliva@extremehomecareinc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8865 Commodity Cir",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328199077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.