NPIMap

Individual provider Active NPI

Eduardo Hugo Martinez, MD

  • Internal Medicine Physician
  • Largo, FL
National Provider Identifier
1417955337
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME54092 Issued in FL
Practice address
8250 Bryan Dairy Rd
Suite 305
Largo, FL 33777-1353
Phone
(727) 391-5008
Fax
(727) 398-1481
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME54092 FL Primary

Addresses

Primary practice location

8250 Bryan Dairy Rd
Suite 305
Largo, FL 33777-1353

Mailing address

PO Box 12868
St Petersburg, FL 33733-2868
Phone (727) 824-8357

Other identifiers 1

IdentifierTypeStateIssuer
063838200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070220000567 FL Practitioner - Internal Medicine 5597867697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Invictus Equity Group, LLCGroup PAC ID 5294247912, 4 clinicians

Practice addresses (Care Compare)

14801 Bruce B Downs Blvd
Tampa, FL 33613-2844
Phone (813) 941-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Primary Care, LLC Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Invictus Equity Group, LLC Internal Medicine CurrentSince Oct 11, 2025 Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients
Jayant C Gajera, M.D., P.a. Internal Medicine Past Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients

Locations

8250 Bryan Dairy Rd
Ste 305
Seminole, FL 33777
Phone (727) 391-5008

12450 Roosevelt Blvd N
Ste 101
St Petersburg, FL 33716
Phone (727) 571-1688

601 7th St S
St Petersburg, FL 33701
Phone (727) 572-0900

14801 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 941-4400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIGJBA

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1417955337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12868",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337332868",
            "telephone_number": "727-824-8357",
            "fax_number": "727-824-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 BRYAN DAIRY RD",
            "address_2": "SUITE 305",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771353",
            "telephone_number": "727-391-5008",
            "fax_number": "727-398-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EDUARDO",
        "middle_name": "HUGO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME54092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063838200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.