Maryanne Martinez, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9102097 Issued in FL

Practice address

7000 SW 62ND Ave Ste 525
South Miami, FL 33143-4721

Phone

(305) 665-8188

Fax

(305) 668-7706

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• J S Santos Inc

  • Family Medicine Physician
  • Sunrise, FL
  • NPI 1356376412
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1295843704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE STE 525",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434721",
            "telephone_number": "305-665-8188",
            "fax_number": "305-668-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE STE 525",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434721",
            "telephone_number": "305-665-8188",
            "fax_number": "305-668-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARYANNE",
        "name_prefix": "Ms.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9102097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291824200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1044212",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Estel Martinez
• Ingrid Maria Martinez, FNP-BC
• Julia Andrea Martinez
• Ladys Martinez
• Mario Jose Martinez, DDS
• Xiomara Martinez, M.D.
• Sharon Parker Martino, ARNP
• Jeffrey Dean Martins, SA-C
• Mohammad Milhim Masri, MD
• Samer Masri, DO

• Physician Assistant in South Miami, FL
• Providers in South Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.