Active NPI
Stephanie Michelle Martinez
- Surgical Assistant
- Pembroke Pines, FL
National Provider Identifier
1588326722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 21-481
- Practice address
- 1515 NW 90TH Way
Pembroke Pines, FL 33024-4624 - Phone
- (305) 502-1653
- NPI assigned
- Oct 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 21-481 | FL | Primary |
Addresses
Primary practice location
1515 NW 90TH Way
Pembroke Pines, FL 33024-4624
Mailing address
1515 NW 90TH Way
Pembroke Pines, FL 33024-4624
Phone (305) 502-1653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-481 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1588326722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 NW 90TH WAY",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330244624",
"telephone_number": "305-502-1653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 NW 90TH WAY",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330244624",
"telephone_number": "305-502-1653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "STEPHANIE",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "21-481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.