Individual provider Active NPI

Gilberto Vega-Martinez, MD, PT

  • Sports Medicine (Family Medicine) Physician
  • Edgewater, FL
National Provider Identifier
1710187786
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME152251 Issued in FL
Practice address
239 N Ridgewood Ave
Edgewater, FL 32132-1734
Phone
(386) 427-4868
Fax
(386) 427-6350
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X ME152251 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopedic Physical Therapist 2251X0800X 23335 FL

Addresses

Primary practice location

239 N Ridgewood Ave
Edgewater, FL 32132-1734

Mailing address

3026 Meleto Blvd
New Smyrna Beach, FL 32168-6513
Phone (407) 453-4541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807001129 FL Practitioner - Sports Medicine 8921340381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians

Practice addresses (Care Compare)

5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 757-7222

7925 N Wickham Rd
Suite a
Melbourne, FL 32940-8211
Phone (321) 751-7222

820 Palm Bay Rd NE
Suite 110
Palm Bay, FL 32905-6351
Phone (321) 633-3278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Health Care Plan, Inc CurrentSince Jul 17, 2023 Accepting new patients
Medfast Urgent Care Centers LLC CurrentSince Feb 1, 2026 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Jul 17, 2023 Accepting new patients
Medfast Urgent Care Centers, LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

239 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 423-4212

7970 N Wickham Rd
Melbourne, FL 32940
Phone (321) 255-7711

2777 Enterprise Rd
Orange City, FL 32763
Phone (386) 774-2550

740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1710187786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 MELETO BLVD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686513",
            "telephone_number": "407-453-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321734",
            "telephone_number": "386-427-4868",
            "fax_number": "386-427-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA-MARTINEZ",
        "first_name": "GILBERTO",
        "name_prefix": "Dr.",
        "credential": "MD, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME152251",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "23335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

Verify at the official NPI Registry.