Individual provider Active NPI

Dileimy Sanchez Martinez, FNP

  • Family Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1417725177
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030102 Issued in FL
Practice address
11701 NW 31St St
Sunrise, FL 33323-1201
Phone
(786) 484-3867
NPI assigned
Dec 12, 2023
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11030102 FL Primary

Addresses

Primary practice location

11701 NW 31St St
Sunrise, FL 33323-1201

Mailing address

11701 NW 31St St
Sunrise, FL 33323-1201
Phone (786) 484-3867

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
I20240215001922 FL Practitioner - Nurse Practitioner 3779927967 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030102FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Health Medical Care Center Inc Single Specialty CurrentSince Jan 24, 2024 Accepting new patients

Locations

14505 Commerce Way
Ste 750
Miami Lakes, FL 33016
Phone (305) 362-9989

Organizations & group practices 1

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": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1417725177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 NW 31ST ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231201",
            "telephone_number": "786-484-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 NW 31ST ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231201",
            "telephone_number": "786-484-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ MARTINEZ",
        "first_name": "DILEIMY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.