Individual provider Active NPI

Jesus Peralta Martinez, APRN

  • Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1508703240
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11046869 Issued in FL
Practice address
7743 W 34TH CT
Hialeah, FL 33018-5008
Phone
(502) 345-3895
NPI assigned
Apr 30, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11046869 FL Primary

Addresses

Primary practice location

7743 W 34TH CT
Hialeah, FL 33018-5008

Mailing address

7743 W 34TH CT
Hialeah, FL 33018-5008
Phone (502) 345-3895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11046869FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1508703240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7743 W 34TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330185008",
            "telephone_number": "502-345-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7743 W 34TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330185008",
            "telephone_number": "502-345-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA MARTINEZ",
        "first_name": "JESUS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11046869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.