Organization Active NPI

Kim Martinez, MD

  • Non-Pharmacy Dispensing Site
  • Tamarac, FL
National Provider Identifier
1659699973
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME87092 Issued in FL
Legal business name
KIM MARTINEZ, MD
Practice address
7101 W McNab Rd
#101
Tamarac, FL 33321-5351
Phone
(954) 722-5600
NPI assigned
May 11, 2010
Organization subpart
Yes
Parent organization
CONTINUCARE MEDICAL MANAGEMENT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Holly Lopez
Title
VP, Support Services
Phone
(305) 500-2108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X ME87092 FL Primary

Addresses

Primary practice location

7101 W McNab Rd
#101
Tamarac, FL 33321-5351

Mailing address

7200 Corporate Center Dr
#600
Miami, FL 33126-1200
Phone (305) 500-2108

National Provider Directory

National Provider Directory
Tax ID family
Lai-Yuan Liu MD38 organizations share this tax ID, including this one
Part of
Lai-Yuan Liu MD

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1659699973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CORPORATE CENTER DR",
            "address_2": "#600",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261200",
            "telephone_number": "305-500-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W MCNAB RD",
            "address_2": "#101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215351",
            "telephone_number": "954-722-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM MARTINEZ, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONTINUCARE MEDICAL MANAGEMENT, INC.",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "VP, SUPPORT SERVICES",
        "authorized_official_telephone_number": "305-500-2108"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME87092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.