Active NPI
Diana Martir, MT
- Medical Technologist
- The Villages, FL
National Provider Identifier
1710287974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- TN 43034
- Practice address
- 8900 SE 165TH Mulberry LN
The Villages, FL 32162-5884 - Phone
- (352) 674-5000
- NPI assigned
- Oct 21, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | TN 43034 | FL | Primary |
Addresses
Primary practice location
8900 SE 165TH Mulberry LN
The Villages, FL 32162-5884
Mailing address
7010 SW 130TH Lane Rd
Ocala, FL 34473-5276
Phone (787) 431-4255
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)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN 43034 | FL | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1710287974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7010 SW 130TH LANE RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344735276",
"telephone_number": "787-431-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 SE 165TH MULBERRY LN",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625884",
"telephone_number": "352-674-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIR",
"first_name": "DIANA",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "FL",
"license": "TN 43034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.