Individual provider Active NPI

Martin Valdes, M.D.

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1407032899
Registry record updated Nov 21, 2013
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME 111211 Issued in FL
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

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 111211FLMDGeneral Practice Physician
151004NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sapphire Massage Center Corp CurrentSince Oct 18, 2012 Accepting new patients
Leon Medical Research Past Accepting new patients
Pain Doctor Center Inc General Practice PastSince Jan 3, 2012 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.

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

Verify at the official NPI Registry.