Active NPI
Jose L Martinez MD PA, MD
- Internal Medicine Physician
- Wellington, FL
National Provider Identifier
1699733972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0056575
- Practice address
- 3319 State Road 7
Ste 215
Wellington, FL 33449-8092 - Phone
- (561) 791-1630
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0056575 | FL | Primary |
Addresses
Primary practice location
3319 State Road 7
Ste 215
Wellington, FL 33449-8092
Mailing address
3319 State Road 7
Suite 215
Wellington, FL 33449-8094
Phone (561) 791-1630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377214400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0056575 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose L Martinez MD PA | Internal Medicine | Current | Accepting new patients |
Locations
3319 S State Road 7
Ste 215
Wellington, FL 33449
Phone (561) 791-1630
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Wellington, FL
- NPI 1871748665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1699733972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3319 STATE ROAD 7",
"address_2": "SUITE 215",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334498094",
"telephone_number": "561-791-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 STATE ROAD 7",
"address_2": "STE 215",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334498092",
"telephone_number": "561-791-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ MD PA",
"first_name": "JOSE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0056575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377214400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.