Active NPI
Healthpark Medical Center, Inc.
- General Practice Physician
- Weston, FL
National Provider Identifier
1306387303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- HEALTHPARK MEDICAL CENTER, INC.
- Practice address
- 2853 Executive Park Dr Ste 104
Weston, FL 33331-3656 - Phone
- (786) 615-7164
- NPI assigned
- Mar 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Federico Martinez
- Title
- Owner
- Phone
- (954) 573-5464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2853 Executive Park Dr Ste 104
Weston, FL 33331-3656
Mailing address
2853 Executive Park Dr Ste 104
Weston, FL 33331-3656
Other practice location 1
3905 NW 107th Ave Ste 305
Doral, FL 33178-2785
Phone (786) 615-7164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121175900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
2853 Executive Park Dr
Ste 104
Weston, FL 33331
Phone (786) 615-9696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1306387303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2853 EXECUTIVE PARK DR STE 104",
"city": "WESTON",
"state": "FL",
"postal_code": "333313656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2853 EXECUTIVE PARK DR STE 104",
"city": "WESTON",
"state": "FL",
"postal_code": "333313656",
"telephone_number": "786-615-7164"
}
],
"practiceLocations": [
{
"address_1": "3905 NW 107th Ave Ste 305",
"address_purpose": "LOCATION",
"city": "Doral",
"state": "FL",
"postal_code": "331782785",
"country_code": "US",
"telephone_number": "786-615-7164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEALTHPARK MEDICAL CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-10",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "FEDERICO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-573-5464"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121175900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.