Organization Active NPI

Miledy Martinez

  • Adult Care Home Facility
  • Tampa, FL
National Provider Identifier
1164800819
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6906029 Issued in FL
Legal business name
MILEDY MARTINEZ
Practice address
6508 Amundson CT
Tampa, FL 33634-4731
Phone
(813) 880-8393
NPI assigned
May 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Miledy Martinez
Title
Administrator
Phone
(813) 880-8393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6906029 FL Primary

Addresses

Primary practice location

6508 Amundson CT
Tampa, FL 33634-4731

Mailing address

6508 Amundson CT
Tampa, FL 33634-4731
Phone (813) 880-8393

Other identifiers 1

IdentifierTypeStateIssuer
142775000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1164800819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 AMUNDSON CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344731",
            "telephone_number": "813-880-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 AMUNDSON CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344731",
            "telephone_number": "813-880-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILEDY MARTINEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MILEDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-880-8393"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142775000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.