Organization Active NPI

Jose R Martin Sr MD MPS PA

  • General Practice Physician
  • Coral Gables, FL
National Provider Identifier
1427122829
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JOSE R MARTIN SR MD MPS PA
Practice address
3970 W Flagler St
Suite 101
Coral Gables, FL 33134-1642
Phone
(305) 608-7883
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Dr. Jose R Martin Sr., MD
Title
President
Phone
(305) 608-7883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3970 W Flagler St
Suite 101
Coral Gables, FL 33134-1642

Mailing address

3970 W Flagler St
Suite 101
Coral Gables, FL 33134-1642
Phone (305) 608-7883

Other identifiers 1

IdentifierTypeStateIssuer
037548900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1427122829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 W FLAGLER ST",
            "address_2": "SUITE 101",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341642",
            "telephone_number": "305-608-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 W FLAGLER ST",
            "address_2": "SUITE 101",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341642",
            "telephone_number": "305-608-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE R MARTIN SR MD MPS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-608-7883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037548900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.