Ivan De Jesus Martinez I, L.M.T.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MA45836 Issued in FL

Practice address

8917 NW 178TH St
Hialeah, FL 33018-6554

Phone

(786) 348-9601

NPI assigned

Oct 29, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1629322649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8917 NW 178TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186554",
            "telephone_number": "786-348-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8917 NW 178TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186554",
            "telephone_number": "786-348-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "IVAN",
        "middle_name": "DE JESUS",
        "name_suffix": "I",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "MA45836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humberto Martinez, M.A
• Idania Martinez, APRN
• Irismarie Martinez
• Isabella Ananaise Martinez
• Isabella Maria Martinez
• Javier Alexander Martinez, D.D.S
• Jorge Jose Martinez
• Jose Georbel Martinez, ARNP
• Jose Luis Martinez, M.D.
• Jose Marcos Martinez

• Health Maintenance Organization in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.