Individual provider Active NPI

Antonio Manuel Martinez Garcia

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1336635838
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9417810 Issued in FL
Practice address
152 E 58TH St
Hialeah, FL 33013-1244
Phone
(305) 326-3288
NPI assigned
Jul 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9417810 FL
Family Nurse Practitioner 363LF0000X 9417810 FL Primary

Addresses

Primary practice location

152 E 58TH St
Hialeah, FL 33013-1244

Mailing address

152 E 58TH St
Hialeah, FL 33013-1244
Phone (305) 326-3288

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
I20210405001364 FL Practitioner - Nurse Practitioner 4082021290 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9417810FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Care Medical Center, Inc CurrentSince Mar 15, 2022 Accepting new patients
Lissette D Cortazar Mdpa CurrentSince Mar 1, 2021 Accepting new patients

Locations

1200 NW 78th Ave
Ste 105
Doral, FL 33126
Phone (786) 306-3808

3661 S Miami Ave
Ste 402
Miami, FL 33133
Phone (305) 815-0055

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1336635838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 E 58TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131244",
            "telephone_number": "305-326-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 E 58TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131244",
            "telephone_number": "305-326-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ GARCIA",
        "first_name": "ANTONIO",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9417810",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9417810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.