Individual provider Active NPI

Aida Rosa Martinez, PA

  • Medical Physician Assistant
  • Miami, FL
National Provider Identifier
1508264078
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9108198 Issued in FL
Practice address
2601 SW 37TH Ave
Suite 702
Miami, FL 33133-2700
Phone
(305) 648-1087
Fax
(305) 648-1088
NPI assigned
Dec 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9108198 FL Primary

Addresses

Primary practice location

2601 SW 37TH Ave
Suite 702
Miami, FL 33133-2700

Mailing address

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134-6134
Phone (305) 648-1087

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
I20150422001939 FL Practitioner - Physician Assistant 7012235021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Holdings Company LLCGroup PAC ID 8224323050, 61 clinicians

Practice addresses (Care Compare)

1251 NW 36TH St
Suite 101
Miami, FL 33142-5532
Phone (305) 913-9441

2501 SW 8TH St
Palm Medical Centers Little Havana
Miami, FL 33135-3005
Phone (305) 642-9992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9108198FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Plaza Medical Center, LLC CurrentSince Jul 26, 2017 Accepting new patients
Palm Medical Centers CurrentSince Jul 26, 2017 Accepting new patients
Health Holdings Company LLC Past Accepting new patients

Locations

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728

2501 SW 8th St
Miami, FL 33135
Phone (305) 642-9992

Organizations & group practices 3

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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1508264078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD",
            "address_2": "STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346134",
            "telephone_number": "305-648-1087",
            "fax_number": "305-648-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE",
            "address_2": "SUITE 702",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332700",
            "telephone_number": "305-648-1087",
            "fax_number": "305-648-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "AIDA",
        "middle_name": "ROSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.