Individual provider Active NPI

Alfredo Martin, RN BSN

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1306590898
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
147214 Issued in FL
Practice address
85 Grand Canal Dr Ste 301
Miami, FL 33144-2569
Phone
(786) 803-8002
Fax
(305) 264-2909
NPI assigned
Feb 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9424246 FL
Internal Medicine Physician 207R00000X 147214 FL Primary

Addresses

Primary practice location

85 Grand Canal Dr Ste 301
Miami, FL 33144-2569

Mailing address

85 Grand Canal Dr Ste 301
Miami, FL 33144-2569
Phone (786) 803-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
9424246FLMDRegistered Nurse
147214FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Care Medical Center, Inc Current Accepting new patients
Medimpact Clinical and Investigational Center Current Accepting new patients

Locations

85 Grand Canal Dr
Ste 301
Miami, FL 33144
Phone (786) 362-6248

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1306590898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442569",
            "telephone_number": "786-803-8002",
            "fax_number": "305-264-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442569",
            "telephone_number": "786-803-8002",
            "fax_number": "305-264-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ALFREDO",
        "name_prefix": "Mr.",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9424246",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "147214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.