Organization Active NPI

Skyline Medical Associates Corp

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1710791280
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SKYLINE MEDICAL ASSOCIATES CORP
Practice address
9495 SW 72ND St Ste B250
Miami, FL 33173-5411
Phone
(786) 613-1151
Fax
(567) 706-2773
NPI assigned
Feb 5, 2025
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Pedro San Martin, MD
Title
Owner
Phone
(786) 613-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

9495 SW 72ND St Ste B250
Miami, FL 33173-5411

Mailing address

3420 SW 124TH CT
Miami, FL 33175-2952
Phone (786) 613-1151

Other practice location 1

2525 SW 75th Ave
Miami, FL 33155-2800
Phone (305) 262-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250217001017 FL Part B Supplier - Clinic/Group Practice 9537699806 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1710791280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 SW 124TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752952",
            "telephone_number": "786-613-1151",
            "fax_number": "567-706-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 SW 72ND ST STE B250",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735411",
            "telephone_number": "786-613-1151",
            "fax_number": "567-706-2773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 SW 75th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331552800",
            "country_code": "US",
            "telephone_number": "305-262-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKYLINE MEDICAL ASSOCIATES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "SAN MARTIN",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-613-1151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.