Individual provider Active NPI

Lisa C. Martinez, MD

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1659574226
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME115971 Issued in FL
Practice address
2500 N Military TRL
Suite 260
Boca Raton, FL 33431-6344
Phone
(561) 886-1202
Fax
(561) 866-1200
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME115971 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X 0116019236 VA
Internal Medicine Physician 207R00000X 0101248823 VA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 0101248823 VA

Addresses

Primary practice location

2500 N Military TRL
Suite 260
Boca Raton, FL 33431-6344

Mailing address

2500 N Military TRL
Suite 260
Boca Raton, FL 33431-6344
Phone (561) 886-1202

Other identifiers 1

IdentifierTypeStateIssuer
1659574226MedicaidVA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713002645 FL Practitioner - Internal Medicine 8628252863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Atlantic UniversityGroup PAC ID 8921097171, 25 clinicians

Practice addresses (Care Compare)

880 NW 13TH St
Suite 400
Boca Raton, FL 33486-2342
Phone (561) 566-5328

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME115971FLMDInternal Medicine Physician
0116019236VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc Internal Medicine CurrentSince Nov 3, 2018 Accepting new patients
Florida Atlantic University CurrentSince Sep 1, 2024 Accepting new patients
Bocacare Inc Internal Medicine CurrentSince Nov 3, 2018 Accepting new patients
University of Miami Internal Medicine Past Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

777 Glades Rd
#71
Boca Raton, FL 33431
Phone (561) 297-4828

670 Glades Rd
Ste 300
Boca Raton, FL 33431
Phone (561) 395-2626

880 NW 13th St
Ste 400
Boca Raton, FL 33486
Phone (561) 297-4814

670 Glades Rd
Ste 400
Boca Raton, FL 33431
Phone (561) 750-2214

777 Glades Rd
Bldg AZ79
Boca Raton, FL 33431
Phone (561) 297-0502

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1659574226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MILITARY TRL",
            "address_2": "SUITE 260",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316344",
            "telephone_number": "561-886-1202",
            "fax_number": "561-866-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MILITARY TRL",
            "address_2": "SUITE 260",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316344",
            "telephone_number": "561-886-1202",
            "fax_number": "561-866-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LISA",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME115971",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116019236",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101248823",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101248823",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659574226",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.