Active NPI
Moya Martin, LLC.
- Family Medicine Physician
- West Palm Beach, FL
National Provider Identifier
1700499365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MOYA MARTIN, LLC.
- Practice address
- 2247 Palm Beach Lakes Blvd Ste 204B
West Palm Beach, FL 33409-3409 - Phone
- (561) 373-7258
- NPI assigned
- Aug 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moya I Martin, DO
- Title
- Owner
- Phone
- (561) 373-7258
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2247 Palm Beach Lakes Blvd Ste 204B
West Palm Beach, FL 33409-3409
Mailing address
4680 Portofino Way # 20-108
West Palm Beach, FL 33409-8168
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2209955 | Moya Martin LLC | Certificate of waiver | Jan 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
2247 Palm Beach Lakes Blvd
Ste 204B
West Palm Beach, FL 33409
Phone (561) 766-0520
Interoperability endpoints
- https://api.platform.athenahealth.com/22555/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603065600000",
"number": "1700499365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4680 PORTOFINO WAY # 20-108",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334098168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2247 PALM BEACH LAKES BLVD STE 204B",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334093409",
"telephone_number": "561-373-7258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOYA MARTIN, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-24",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "MOYA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-373-7258",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.