Individual provider Active NPI

Gladys R Martinez, DO

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1306870977
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS7477 Issued in FL
Practice address
950 NW 9TH CT
Boca Raton, FL 33486-2214
Phone
(561) 819-6700
Fax
(561) 941-9409
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS7477 FL Primary

Addresses

Primary practice location

950 NW 9TH CT
Boca Raton, FL 33486-2214

Mailing address

7086 Brunswick Cir
Boynton Beach, FL 33472-2533
Phone (561) 703-2047

Other practice location 1

1780 NW 52nd Ave
Lauderhill, FL 33313-7811
Phone (305) 216-5926

Other identifiers 10

IdentifierTypeStateIssuer
F94431I413OtherFLVISTA
F94431I413OtherSUMMIT
56-2547040OtherHEALTH CARE DISTRICT
56-2547040OtherHUMANA
4573393OtherFLAETNA
55126OtherFLBLUE CROSS BLUE SHIELD
56-2547040OtherUNITED
4304693OtherCIGNA
305705OtherFLAVMED
650561267OtherFLTAX ID

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS7477FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Internist, P.a. Internal Medicine Current Accepting new patients
Royal Palm Internists PA Internal Medicine CurrentSince Jul 15, 2006 Accepting new patients

Locations

15340 S Jog Rd
Ste 202
Delray Beach, FL 33446
Phone (561) 330-4177

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1306870977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7086 BRUNSWICK CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722533",
            "telephone_number": "561-703-2047",
            "fax_number": "561-437-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 NW 9TH CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862214",
            "telephone_number": "561-819-6700",
            "fax_number": "561-941-9409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1780 NW 52nd Ave",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "333137811",
            "country_code": "US",
            "telephone_number": "305-216-5926",
            "fax_number": "561-941-9409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GLADYS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "F94431I413",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMIT",
            "identifier": "F94431I413",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE DISTRICT",
            "identifier": "56-2547040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "56-2547040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4573393",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55126",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "56-2547040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4304693",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "305705",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "650561267",
            "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 Aug 20, 2025; 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.