Organization Active NPI

Moya Martin, LLC.

  • Family Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1700499365
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Oct 19, 2020

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2209955Moya Martin LLC2247 Palm Beach Lakes Blvd Suite 204B, West Palm Beach, FL 33409Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

Locations

2247 Palm Beach Lakes Blvd
Ste 204B
West Palm Beach, FL 33409
Phone (561) 766-0520

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.