Individual provider Active NPI

Dayana Rodriguez Martinez, APRN

  • Gerontology Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1326471772
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11006094 Issued in FL
Practice address
12177 Pembroke Rd
Pembroke Pines, FL 33025-1727
Phone
(786) 443-0138
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11006094 FL
Gerontology Nurse Practitioner 363LG0600X APRN11006094 FL Primary

Addresses

Primary practice location

12177 Pembroke Rd
Pembroke Pines, FL 33025-1727

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 1

IdentifierTypeStateIssuer
107523000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DRodriguezMartinez@conviva.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200810001430 FL Practitioner - Nurse Practitioner 4082039953 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11006094FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Project Access Foundation Inc CurrentSince Jun 15, 2020 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

7593 W Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 354-4840

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

1435 W 49th Pl
Ste 503
Hialeah, FL 33012
Phone (305) 284-7666

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

8000 Biscayne Blvd
Miami, FL 33138
Phone (305) 759-4778

12177 Pembroke Rd
Pembroke Pines, FL 33025
Phone (954) 436-0555

7000 SW 62nd Ave
Ste 300
South Miami, FL 33143
Phone (305) 284-7666

Interoperability endpoints

  • Direct secure messaging: drodriguezmartinez@conviva.eclinicaldirectplus.com

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1326471772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12177 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251727",
            "telephone_number": "786-443-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MARTINEZ",
        "first_name": "DAYANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11006094",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11006094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107523000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DRodriguezMartinez@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12177 Pembroke Rd",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330251727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.