Individual provider Active NPI

Alvin Eduardo Martinez, D.O.

  • Obstetrics & Gynecology Physician
  • Pembroke Pines, FL
National Provider Identifier
1245478916
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS10882 Issued in FL
Practice address
301 NW 179TH Ave Ste 102
Pembroke Pines, FL 33029-2817
Phone
(954) 447-1446
Fax
(954) 241-4147
NPI assigned
Feb 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS10882 FL Primary

Addresses

Primary practice location

301 NW 179TH Ave Ste 102
Pembroke Pines, FL 33029-2817

Mailing address

3100 SW 131St Ter
Davie, FL 33330-4616

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address almartinez@femwell.com Health Information Exchange (HIE)

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
I20140903001885 FL Practitioner - Obstetrics/Gynecology 3779701784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Labiste Medical and Wellness Center, Inc CurrentSince Apr 20, 2021 Accepting new patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Jul 15, 2014 Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

301 NW 179th Ave
Ste 102
Pembroke Pines, FL 33029
Phone (954) 447-1446

17901 NW 5th St
Ste 202
Pembroke Pines, FL 33029
Phone (954) 442-8722

1865 N Corporate Lakes Blvd
Ste 2A
Weston, FL 33326
Phone (954) 349-4391

2731 Executive Park Dr
Ste 7
Weston, FL 33331
Phone (754) 206-0838

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1245478916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 131ST TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NW 179TH AVE STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292817",
            "telephone_number": "954-447-1446",
            "fax_number": "954-241-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ALVIN",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS10882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "almartinez@femwell.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "301 NW 179th Ave Ste 102",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330292817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.