Active NPI
Jose R Martin Sr MD MPS PA
- General Practice Physician
- Coral Gables, FL
National Provider Identifier
1427122829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037548900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.