Individual provider Active NPI

Mariem Rodriguez Martinez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1619511672
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001226 Issued in FL
Practice address
900 SW 84TH Ave Apt 317
Miami, FL 33144-4162
Phone
(786) 419-3703
NPI assigned
Nov 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0042009 OH
Family Nurse Practitioner 363LF0000X APRN11001226 FL Primary
Nurse Practitioner 363L00000X SP035581 PA
Family Nurse Practitioner 363LF0000X GAA-NP004049 GA

Addresses

Primary practice location

900 SW 84TH Ave Apt 317
Miami, FL 33144-4162

Mailing address

900 SW 84TH Ave Apt 317
Miami, FL 33144-4162

Other practice location 1

21301 Powerline Rd Ste 106
Boca Raton, FL 33433-2389
Phone (866) 550-2212

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
I20220822002467 FL Practitioner - Nurse Practitioner 6709215643 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Travel Doctor PLGroup PAC ID 2567686090, 42 clinicians
The Clinicians, LLCGroup PAC ID 7214154509, 51 clinicians

Practice addresses (Care Compare)

10970 Cross Creek Blvd
Suite D
Tampa, FL 33647-4056
Phone (866) 550-2212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0042009OHMDNurse Practitioner
SP035581PAMDNurse Practitioner
APRN11001226FLMDFamily Nurse Practitioner
GAA-NP004049GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Florida, LLC CurrentSince Jun 2, 2025 Accepting new patients
The Clinicians, LLC CurrentSince Apr 1, 2023 Accepting new patients
Express Docs, LLC CurrentSince May 17, 2022 Accepting new patients
Express Docs, LLC CurrentSince May 17, 2022 Accepting new patients
Travel Doctor, PL CurrentSince Feb 17, 2024 Accepting new patients
Expressdocs2Llc PastSince Feb 11, 2024 Accepting new patients

Locations

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212

220 Hillsboro Technology Dr
Ste 230
Deerfield Beach, FL 33441
Phone (561) 289-0709

14530 S Military Trl
Ste A1
Delray Beach, FL 33484
Phone (561) 381-0260

14530 S Military Trl
Delray Beach, FL 33484
Phone (561) 381-0260

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

10970 Cross Creek Blvd
Tampa, FL 33647
Phone (813) 369-5969

Organizations & group practices 6

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": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1619511672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SW 84TH AVE APT 317",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SW 84TH AVE APT 317",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444162",
            "telephone_number": "786-419-3703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21301 Powerline Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334332389",
            "country_code": "US",
            "telephone_number": "866-550-2212",
            "fax_number": "561-516-7362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ MARTINEZ",
        "first_name": "MARIEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-03",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0042009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001226",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP035581",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP004049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.