Organization Active NPI

Martin Residences, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1255538328
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10058 Issued in FL
Legal business name
MARTIN RESIDENCES, INC.
Practice address
19940 SW 124TH CT
Miami, FL 33177-4938
Phone
(786) 457-0743
NPI assigned
Jul 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mr. Mauricio Martin
Title
President
Phone
(786) 457-0743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10058 FL Primary

Addresses

Primary practice location

19940 SW 124TH CT
Miami, FL 33177-4938

Mailing address

19940 SW 124TH CT
Miami, FL 33177-4938
Phone (786) 457-0743

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1255538328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19940 SW 124TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774938",
            "telephone_number": "786-457-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19940 SW 124TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774938",
            "telephone_number": "786-457-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN RESIDENCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-01",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-457-0743",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.