NPIMap

Organization Active NPI

Pedro Martinez-Clark MD PA

  • Interventional Cardiology Physician
  • Miami, FL
National Provider Identifier
1346685245
Registry record updated Nov 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME97003 Issued in FL
Legal business name
PEDRO MARTINEZ-CLARK MD PA
Practice address
5040 NW 7TH Street
Suite 750
Miami, FL 33126-3490
Phone
(305) 587-1752
Fax
(305) 397-2986
NPI assigned
May 6, 2013
Last updated
Nov 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2015

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

Authorized official

Name
Pedro Martinez-Clark, MDNPI 1205933504
Title
President
Phone
(305) 587-1752

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
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X ME97003 FL Primary

Addresses

Primary practice location

5040 NW 7TH Street
Suite 750
Miami, FL 33126-3490

Mailing address

5040 NW 7TH Street
Suite 750
Miami, FL 33126-3490
Phone (305) 587-1752

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131009001465 FL Part B Supplier - Clinic/Group Practice 7719111566 Receives reassigned benefits from 7 practitioners
Practice locations: North Miami Beach, FL; Miami Shores, FL; Miami, FL; Hialeah, FL; Doral, FL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2520 Coral Way
Ste 2120
Coral Gables, FL 33145

836 Ponce de Leon Blvd
Fl 3
Coral Gables, FL 33134
Phone (305) 446-9658

7100 W 20th Ave
Ste 703
Hialeah, FL 33016
Phone (305) 545-5465

9999 NE 2nd Ave
Ste 100
Miami Shores, FL 33138
Phone (305) 754-1654

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448150400000",
    "number": "1346685245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH STREET",
            "address_2": "SUITE 750",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263490",
            "telephone_number": "305-587-1752",
            "fax_number": "786-504-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH STREET",
            "address_2": "SUITE 750",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263490",
            "telephone_number": "305-587-1752",
            "fax_number": "305-397-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO MARTINEZ-CLARK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2015-11-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-CLARK",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-587-1752",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME97003",
            "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 Nov 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.