Elsa Marina Acevedo Martinez, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pembroke Pines, FL
NPI 1689243289 · NPPES record last updated Jun 18, 2021
Key facts
- NPI
- 1689243289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 703 N Flamingo Rd
Pembroke Pines, FL 33028-1006 - Phone
- (954) 844-1404
- NPI assigned
- Jun 18, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210628001582 | FL | Order and Referring Only - Internal Medicine |
4284035312 | |
| I20240611000977 | FL | Order and Referring Only - Infectious Disease |
4284035312 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Mailing address
703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (954) 844-1404
Other providers in Pembroke Pines, FL
- Access Medical Group of Pembroke Pines, LLC
- Accountable Billing Services & Consulting Firm
- Accuchoice LLC
- Accustat Mobile Labs
- Ace Home Health Corp
- Eduardo Andres Acevedo
- Rolando Acevedo
- Fabienne Achille
- Tegan G Achiron
- Mariaritha Achury-Jimenez
All providers in Pembroke Pines, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.