Active NPI
Martin Valdes, M.D.
- General Practice Physician
- Hialeah, FL
National Provider Identifier
1407032899
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Mar 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME 111211
- Practice address
- 5931 NW 173Rd Dr
Suite 7
Hialeah, FL 33015-5106 - Phone
- (305) 823-4002
- NPI assigned
- Jan 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME 111211 | FL | Primary |
| General Practice Physician | 208D00000X | 151004 | NY |
Addresses
Primary practice location
5931 NW 173Rd Dr
Suite 7
Hialeah, FL 33015-5106
Mailing address
5931 NW 173Rd Dr
Suite 7
Hialeah, FL 33015-5106
Phone (305) 823-4002
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 111211 | FL | MD | General Practice Physician |
| 151004 | NY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sapphire Massage Center Corp | Current | Accepting new patients | |
| Leon Medical Research | Past | Accepting new patients | |
| Pain Doctor Center Inc | General Practice | Past | Accepting new patients |
Locations
1840 W 49th St
Ste 514
Hialeah, FL 33012
Phone (305) 556-6885
Organizations & group practices 3
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.
-
- General Practice Physician
- Hialeah, FL
- NPI 1255602462
-
- Rehabilitation Clinic/Center
- Hialeah, FL
- NPI 1023388576
-
- Multi-Specialty Clinic/Center
- Hialeah, FL
- NPI 1750828224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1407032899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5931 NW 173RD DR",
"address_2": "SUITE 7",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330155106",
"telephone_number": "305-823-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5931 NW 173RD DR",
"address_2": "SUITE 7",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330155106",
"telephone_number": "305-823-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDES",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-15",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME 111211",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "151004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.