Active NPI
Martita Marcano Perez, M.D.
- Internal Medicine Physician
- Dundee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME156214
- Practice address
- 916 Dundee Rd
Dundee, FL 33838-4198 - Phone
- (866) 234-8534
- NPI assigned
- Aug 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 019028 | PR | |
| Infectious Disease Physician | 207RI0200X | ME156214 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 019028 | PR | |
| Internal Medicine Physician | 207R00000X | ME156214 | FL | Primary |
Addresses
Primary practice location
916 Dundee Rd
Dundee, FL 33838-4198
Mailing address
47 5TH St NW
Winter Haven, FL 33881-4672
Phone (866) 234-8534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180614000364 | AZ | Practitioner - Internal Medicine | 0143575290 | Reassigns benefits to 1 organization |
| I20230515002404 | FL | Practitioner - Internal Medicine | 0143575290 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Puerto Rico School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Florida Health Care IncRadial Health Southeast LLCSuntree Internal Medicine, Inc.Carlos Gutierrez PLLC
Practice addresses (Care Compare)
1023 Dundee Rd
Dundee, FL 33838-3101
Phone (866) 234-8534
4240 Lakeland Highlands Rd
Lakeland, FL 33813-3113
Phone (847) 289-5727
6619 N Wickham Rd
Melbourne, FL 32940-2006
Phone (321) 259-9500
700 W Campbell Ave
Suite 15
Phoenix, AZ 85013-2691
Phone (623) 600-4126
916 Hwy 542
Dundee, FL 33838-9999
Phone (866) 234-8534
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME156214 | FL | MD | Internal Medicine Physician |
| 019028 | PR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Docs PC | Internal Medicine | Current | Accepting new patients |
| Carlos Gutierrez PLLC | Current | Accepting new patients | |
| Conviva Medical Center Management LLC | Internal Medicine | Current | Accepting new patients |
| Central Florida Health Care, Inc | Current | Accepting new patients | |
| Central Florida Health Care Inc | Current | Accepting new patients | |
| Suntree Internal Medicine, LLC. | Internal Medicine | Current | Accepting new patients |
| Radial Health Southeast LLC | Internal Medicine | Current | Accepting new patients |
| Suntree Endocrinology | Internal Medicine | Current | Accepting new patients |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc | Past | Accepting new patients | |
| Central Florida Health Care Inc | Past | Accepting new patients | |
| Central Florida Health Care, Inc. | Past | Accepting new patients | |
| Central Florida Health Care Inc | Past | Accepting new patients | |
| Central Florida Health Care, Inc | Past | Accepting new patients | |
| Central Florida Health Care, Inc. | Past | Accepting new patients | |
| Central Florida Health Care, Inc. | Past | Accepting new patients | |
| Desert Kidney Associates PLC | Past | Accepting new patients | |
| Central Florida Health Care, Inc. | Past | Accepting new patients | |
| Central Florida Health Care, Inc. | Past | Accepting new patients | |
| Central Florida Health Care Inc | Past | Accepting new patients |
Locations
700 W Campbell Ave
Ste 15
Phoenix, AZ 85013
Phone (623) 349-1392
919 Old Winter Haven Rd
Auburndale, FL 33823
Phone (863) 967-4125
950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000
1190 E Church St
Bartow, FL 33830
Phone (863) 533-1601
130 Ridge Center Dr
Davenport, FL 33837
Phone (866) 234-8535
109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891
705 Ingraham Ave
Haines City, FL 33844
Phone (863) 291-3314
5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050
305 W Central Ave
Fl Heal
Lake Wales, FL 33853
855 Carpenters Way
Lakeland, FL 33809
Phone (863) 213-3335
3655 Innovation Dr
Lakeland, FL 33812
Phone (863) 619-5999
1201 Oakbridge Pkwy
Lakeland, FL 33803
Phone (863) 279-1600
4240 Lakeland Highlands Rd
Lakeland, FL 33813
Phone (863) 607-5948
1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600
6619 N Wickham Rd
Melbourne, FL 32940
Phone (321) 259-9500
2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801
1514 1st St N
Winter Haven, FL 33881
Phone (863) 291-5110
47 5th St NW
Winter Haven, FL 33881
Interoperability endpoints
- martita.marcano.perez.1@12125.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/DBICDD
Organizations & group practices 29
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.
-
- Federally Qualified Health Center (FQHC)
- Frostproof, FL
- NPI 1467449660
FL
-
- Physical Medicine & Rehabilitation Physician
- Navarre, FL
- NPI 1174159891
FL, Internal Medicine
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1700947884
FL, Internal Medicine
-
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
FL, Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Lakeland, FL
- NPI 1033605613
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1811796469
-
- Federally Qualified Health Center (FQHC)
- Winter Haven, FL
- NPI 1467752998
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1407615826
-
- Federally Qualified Health Center (FQHC)
- Dundee, FL
- NPI 1063408813
-
- Federally Qualified Health Center (FQHC)
- Avon Park, FL
- NPI 1063409290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1275812901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 5TH ST NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814672",
"telephone_number": "866-234-8534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 DUNDEE RD",
"city": "DUNDEE",
"state": "FL",
"postal_code": "338384198",
"telephone_number": "866-234-8534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCANO PEREZ",
"first_name": "MARTITA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PR",
"license": "019028",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME156214",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "019028",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME156214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dundee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.