Organization Active NPI

Pedro P Martin MD, PA

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1336949502
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PEDRO P MARTIN MD, PA
Doing business as
Pedro P Martin MD, PA
Practice address
12264 Tamiami TRL E Ste 203
Naples, FL 34113-7942
Phone
(239) 999-4949
Fax
(239) 999-4959
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Dr. Pedro Pablo Martin, MDNPI 1376828970
Title
MD
Phone
(239) 999-4949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12264 Tamiami TRL E Ste 203
Naples, FL 34113-7942

Mailing address

PO Box 3814
North Fort Myers, FL 33918-3814
Phone (239) 999-4949

Other identifiers 1

IdentifierTypeStateIssuer
6WDN9OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • PEDRO P MARTIN MD, PA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1336949502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3814",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339183814",
            "telephone_number": "239-999-4949",
            "fax_number": "239-999-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12264 TAMIAMI TRL E STE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137942",
            "telephone_number": "239-999-4949",
            "fax_number": "239-999-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO P MARTIN MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "PABLO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "239-999-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6WDN9",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDRO P MARTIN MD, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.