Individual provider Active NPI

Martha Maria Medina Teron

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1609574334
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015312 Issued in FL
Practice address
8060 NW 10TH St Apt 3
Miami, FL 33126-2868
Phone
(502) 309-1985
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11015312 FL Primary

Addresses

Primary practice location

8060 NW 10TH St Apt 3
Miami, FL 33126-2868

Mailing address

8060 NW 10TH St Apt 3
Miami, FL 33126-2868
Phone (502) 309-1985

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
I20241004000865 FL Practitioner - Nurse Practitioner 8729519467 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015312FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Maria Medina Teron NP Corp Family Current Accepting new patients

Locations

7980 SW 24th St
Miami, FL 33155
Phone (305) 264-9767

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1609574334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 NW 10TH ST APT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262868",
            "telephone_number": "502-309-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 NW 10TH ST APT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262868",
            "telephone_number": "502-309-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA TERON",
        "first_name": "MARTHA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.