Organization Active NPI

Armando O Martinez MD PA

  • Family Medicine Physician
  • Merritt Island, FL
National Provider Identifier
1285890558
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0025175 Issued in FL
Legal business name
ARMANDO O MARTINEZ MD PA
Practice address
1395 N Courtenay Pkwy
Suite # 200
Merritt Island, FL 32953-4400
Phone
(321) 459-1333
Fax
(321) 453-0189
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Dr. Armando Onel Martinez I, M.D.
Title
Physician
Phone
(321) 459-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0025175 FL Primary

Addresses

Primary practice location

1395 N Courtenay Pkwy
Suite # 200
Merritt Island, FL 32953-4400

Mailing address

1395 N Courtenay Pkwy
Suite 200
Merritt Island, FL 32953-4400
Phone (321) 459-1333

Other identifiers 1

IdentifierTypeStateIssuer
056031600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1285890558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY",
            "address_2": "SUITE 200",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534400",
            "telephone_number": "321-459-1333",
            "fax_number": "321-453-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY",
            "address_2": "SUITE # 200",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534400",
            "telephone_number": "321-459-1333",
            "fax_number": "321-453-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMANDO O MARTINEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "ONEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "321-459-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0025175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056031600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.