Active NPI
Idel Medical Research Group, Inc.
- Family Nurse Practitioner
- Miami Lakes, FL
National Provider Identifier
1255248571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- IDEL MEDICAL RESEARCH GROUP, INC.
- Practice address
- 14100 Palmetto Frntg Rd Ste 107
Miami Lakes, FL 33016-1568 - Phone
- (305) 488-4591
- Fax
- (305) 488-0438
- NPI assigned
- Aug 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dianelys Martinez, APRN
- Title
- Owner
- Phone
- (305) 488-4591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
14100 Palmetto Frntg Rd Ste 107
Miami Lakes, FL 33016-1568
Mailing address
14100 Palmetto Frntg Rd Ste 107
Miami Lakes, FL 33016-1568
Phone (305) 488-4591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1255248571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 PALMETTO FRNTG RD STE 107",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161568",
"telephone_number": "305-488-4591",
"fax_number": "305-488-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 PALMETTO FRNTG RD STE 107",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161568",
"telephone_number": "305-488-4591",
"fax_number": "305-488-0438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDEL MEDICAL RESEARCH GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "DIANELYS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-488-4591",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.