Organization Active NPI

Isidro R. Martinez MD LLC

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Boca Raton, FL
National Provider Identifier
1306131040
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X
License
ME94896 Issued in FL
Legal business name
ISIDRO R. MARTINEZ MD LLC
Practice address
7153 Via Firenze
Boca Raton, FL 33433-1044
Phone
(561) 866-8448
Fax
(561) 392-3402
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Dr. Isidro Ricardo Martinez, MD
Title
Owner/Manager
Phone
(561) 866-8448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VH0002X ME94896 FL Primary

Addresses

Primary practice location

7153 Via Firenze
Boca Raton, FL 33433-1044

Mailing address

7153 Via Firenze
Boca Raton, FL 33433-1044
Phone (561) 866-8448

Other identifiers 1

IdentifierTypeStateIssuer
74327200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1306131040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7153 VIA FIRENZE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331044",
            "telephone_number": "561-866-8448",
            "fax_number": "561-392-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7153 VIA FIRENZE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331044",
            "telephone_number": "561-866-8448",
            "fax_number": "561-392-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISIDRO R. MARTINEZ MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ISIDRO",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "561-866-8448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME94896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74327200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.