Ana Milena Collazos Martling, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME99344 Issued in FL

Practice address

1755 W Hibiscus Blvd
Melbourne, FL 32901

Phone

(321) 724-5437

Fax

(321) 724-5570

NPI assigned

Aug 7, 2007

Last updated

Oct 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ana.martling.1@8042.direct.athenahealth.com

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.

• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1497946123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S WOODS DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553262",
            "telephone_number": "321-636-3066",
            "fax_number": "321-636-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 W HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-724-5437",
            "fax_number": "321-724-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5270 Babcock St NE",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329058630",
            "country_code": "US",
            "telephone_number": "321-676-5996",
            "fax_number": "321-676-5926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 W Hibiscus Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "32901",
            "country_code": "US",
            "telephone_number": "321-724-5437",
            "fax_number": "321-724-5570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTLING",
        "first_name": "ANA MILENA",
        "middle_name": "COLLAZOS",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A88050",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME99344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278770900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Gaspar Martinez, SAC
• Catherine Kitts Martinez, BCBA-D
• Edison Alexander Martinez, APRN
• Jannette Martinez
• Santrell Martinez
• Colleen Martonick, MSOTR/L, CLT
• Guiliana Marty
• Amber Martz, APRN
• Alan K Marumoto, MD
• Sherry Marvinny

• Pediatrics Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.