Individual provider Active NPI

Marta Yamilex Herrera Lorenzo

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1477160513
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11007988 Issued in FL
Practice address
500 SW 120TH Ave
Miami, FL 33184-1643
Phone
(786) 817-9272
NPI assigned
Sep 23, 2020
Last updated
Nov 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11007988 FL Primary

Addresses

Primary practice location

500 SW 120TH Ave
Miami, FL 33184-1643

Mailing address

500 SW 120TH Ave
Miami, FL 33184-1643
Phone (786) 817-9272

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL myamilexherreral@gmail.com Direct

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
I20211213002466 FL Practitioner - Nurse Practitioner 0941690549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G and G Medical Center IncGroup PAC ID 2365785680, 3 clinicians

Practice addresses (Care Compare)

5612 NW 167TH St
Miami Gardens, FL 33014-6135
Phone (786) 858-7800

8000 W Flagler St
Suite 206
Miami, FL 33144-2153
Phone (786) 703-9779

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G & G Medical Center Inc Family Medicine CurrentSince Apr 24, 2024 Accepting new patients

Locations

8000 W Flagler St
Ste 206
Miami, FL 33144
Phone (305) 262-2300

Organizations & group practices 2

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1477160513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 120TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841643",
            "telephone_number": "786-817-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW 120TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841643",
            "telephone_number": "786-817-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA LORENZO",
        "first_name": "MARTA",
        "middle_name": "YAMILEX",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11007988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "myamilexherreral@gmail.com",
            "affiliation": "N",
            "endpointDescription": "myamilexherreral@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 SW 120th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331841643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.