Individual provider Active NPI

Martita Marcano Perez, M.D.

  • Internal Medicine Physician
  • Dundee, FL
National Provider Identifier
1275812901
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME156214 Issued in FL
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

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180614000364 AZ Practitioner - Internal MedicinePractitioner - Infectious Disease 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 IncGroup PAC ID 0143127951, 33 clinicians
Radial Health Southeast LLCGroup PAC ID 7113357476, 24 clinicians
Suntree Internal Medicine, Inc.Group PAC ID 1951378694, 16 clinicians
Carlos Gutierrez PLLCGroup PAC ID 9133575103, 2 clinicians

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

LicenseStateTypeSpecialty
ME156214FLMDInternal Medicine Physician
019028PRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
First Docs PC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Carlos Gutierrez PLLC CurrentSince Aug 27, 2024 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Feb 24, 2023 Accepting new patients
Central Florida Health Care, Inc CurrentSince Jun 6, 2025 Accepting new patients
Central Florida Health Care Inc CurrentSince Jun 6, 2025 Accepting new patients
Suntree Internal Medicine, LLC. Internal Medicine CurrentSince Mar 2, 2026 Accepting new patients
Radial Health Southeast LLC Internal Medicine CurrentSince Jun 9, 2025 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 PastSince Jun 6, 2025 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

  • Direct secure messaging: martita.marcano.perez.1@12125.direct.athenahealth.com
  • FHIR API: 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.

View all 29

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

Verify at the official NPI Registry.