Kailuma Martinez

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS15724 Issued in FL

Practice address

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Phone

(954) 459-2094

NPI assigned

Aug 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Phoenix Pediatrics of Broward LLC

  • Pediatrics Physician
  • Ft Lauderdale, FL
  • NPI 1619970498
  Medicare reassignment NPD
• Phoenix Pediatrics of Broward LLC

  • Pediatrics Physician
  • Coral Springs, FL
  • NPI 1508815655
  NPD

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1255810651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NW 182ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293042",
            "telephone_number": "305-450-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162510",
            "telephone_number": "954-459-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KAILUMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS15724",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "UO4875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Aurora Martinez, PHARMACY INTERN
• Elda Martinez, PT
• Frances Martinez, DO
• Jordan Martinez
• Jose Vladimir Martinez
• Luisa Martinez, DPT
• Lynell Adrianna Martinez, MD
• Maria L. Martinez, LCSW
• Mateo J Martinez, PT
• Paulina Martinez, PHD, LCSW

• Pediatrics Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.