Organization Active NPI

Jose L. Martinez MD PA

  • Internal Medicine Physician
  • Wellington, FL
National Provider Identifier
1285987057
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0056575 Issued in FL
Legal business name
JOSE L. MARTINEZ MD PA
Practice address
11653 South Breeze PL
Wellington, FL 33449
Phone
(561) 602-4564
NPI assigned
Oct 18, 2012
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Dr. Jose Luciano Martinez, MD
Title
President
Phone
(561) 791-1630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0056575 FL Primary

Addresses

Primary practice location

11653 South Breeze PL
Wellington, FL 33449

Mailing address

3319 State Road 7 Ste 215
Wellington, FL 33449-8092
Phone (561) 791-1630

National Provider Directory

National Provider Directory

Locations

3319 S State Road 7
Ste 215
Wellington, FL 33449
Phone (561) 791-1630

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1285987057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 STATE ROAD 7 STE 215",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498092",
            "telephone_number": "561-791-1630",
            "fax_number": "561-791-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11653 SOUTH BREEZE PL",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33449",
            "telephone_number": "561-602-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE L. MARTINEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUCIANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-791-1630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0056575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.