Individual provider Active NPI

Luis Martija, MSN, APRN, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1306489349
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11004568 Issued in FL
Practice address
1806 SW 136TH PL
Miami, FL 33175-1047
Phone
(786) 449-5523
NPI assigned
Oct 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11004568 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209036386 IL
Family Nurse Practitioner 363LF0000X 209036386 IL
Family Nurse Practitioner 363LF0000X APRN11004568 FL

Addresses

Primary practice location

1806 SW 136TH PL
Miami, FL 33175-1047

Mailing address

274 NW 133Rd CT
Miami, FL 33182-1617
Phone (786) 449-5523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, MI, NY, MS, CT, CA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20210727002465 FL Practitioner - Nurse Practitioner 7214330398 Reassigns benefits to 1 organization
I20211115000975 TX Practitioner - Nurse Practitioner 7214330398 Reassigns benefits to 1 organization
I20220331001906 MI Practitioner - Nurse Practitioner 7214330398 Reassigns benefits to 1 organization
I20220811002177 NY Practitioner - Nurse Practitioner 7214330398 Reassigns benefits to 2 organizations
I20251107004827 MS Practitioner - Nurse Practitioner 7214330398 Reassigns benefits to 1 organization
I20251201002624 CT Practitioner - Nurse Practitioner 7214330398 Reassigns benefits to 1 organization
I20260504006143 CA Practitioner - Nurse Practitioner 7214330398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1806 SW 136TH PL
Miami, FL 33175-1047

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

200 Oceangate
Suite 100
Long Beach, CA 90802-4317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN11004568FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Whole Health of New York, Inc CurrentSince May 12, 2025 Accepting new patients
Molina Healthcare of New York, Inc. CurrentSince Jun 30, 2022 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

15 Metrotech Ctr
Fl 11
Brooklyn, NY 11201
Phone (718) 923-7100

5232 Witz Dr
North Syracuse, NY 13212
Phone (315) 632-5960

Interoperability endpoints

  • Direct secure messaging: lmartija12727@direct-prd.molinahealthcare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1306489349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 NW 133RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821617",
            "telephone_number": "786-449-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SW 136TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751047",
            "telephone_number": "786-449-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIJA",
        "first_name": "LUIS",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11004568",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209036386",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209036386",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.