Individual provider Active NPI

Liliana Martinez, ARNP, FNP-BC, NP-C

  • Family Nurse Practitioner
  • Doral, FL
National Provider Identifier
1447571146
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11790098-4409 Issued in UT
Practice address
8300 NW 33Rd St
#400
Doral, FL 33122-1940
Phone
(888) 562-5442
Fax
(562) 276-4825
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X ARNP 9194148 FL
Family Nurse Practitioner 363LF0000X N361080984 WA
Family Nurse Practitioner 363LF0000X APRN-CNP60324 NM
Family Nurse Practitioner 363LF0000X 11790098-4409 UT Primary
Family Nurse Practitioner 363LF0000X ARNP9194148 FL
Urology Registered Nurse 163WU0100X ARNP9194148 FL

Addresses

Primary practice location

8300 NW 33Rd St
#400
Doral, FL 33122-1940

Mailing address

200 Oceangate
#100
Long Beach, CA 90802-4317
Phone (562) 499-6191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM, WA, UT, TX, MA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20111006000150 FL Practitioner - Nurse Practitioner 2163694613 Reassigns benefits to 2 organizations
I20200618002033 NM Practitioner - Nurse Practitioner 2163694613 Reassigns benefits to 1 organization
I20200625001280 WA Practitioner - Nurse Practitioner 2163694613 Reassigns benefits to 1 organization
I20200715000226 UT Practitioner - Nurse Practitioner 2163694613 Reassigns benefits to 1 organization
I20210814000074 TX Practitioner - Nurse Practitioner 2163694613 Reassigns benefits to 1 organization
I20220830002318 MA Practitioner - Nurse Practitioner 2163694613 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9194148FLMDAmbulatory Women's Health Care Registered Nurse
ARNP9194148FLMDFamily Nurse Practitioner
APRN-CNP60324NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Camillus Health Concern Inc CurrentSince Oct 1, 2018 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Jun 10, 2020 Accepting new patients
Camillus Health Concern, Inc. CurrentSince Oct 1, 2018 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

336 NW 5th St
Miami, FL 33128
Phone (305) 477-4840

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: lmartinez7518@direct-prd.molinahealthcare.com

Organizations & group practices 6

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447571146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE",
            "address_2": "#100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "562-499-6191",
            "fax_number": "562-276-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 NW 33RD ST",
            "address_2": "#400",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221940",
            "telephone_number": "888-562-5442",
            "fax_number": "562-276-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LILIANA",
        "credential": "ARNP, FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "FL",
            "license": "ARNP 9194148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "N361080984",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "APRN-CNP60324",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11790098-4409",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9194148",
            "primary": false
        },
        {
            "code": "163WU0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Urology",
            "state": "FL",
            "license": "ARNP9194148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.