Individual provider Active NPI

Mireda E Martinez, MD

  • Physical Medicine & Rehabilitation Physician
  • Kissimmee, FL
National Provider Identifier
1760454953
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME101065 Issued in FL
Practice address
1198 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone
(352) 404-6959
Fax
(352) 404-6960
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME101065 FL Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X ME101065 FL

Addresses

Primary practice location

1198 Cypress Glen Cir
Kissimmee, FL 34741-7560

Mailing address

720 Almond St
Clermont, FL 34711-3124
Phone (352) 404-6959

Other practice location 1

621 Wilkinson St
Orlando, FL 32803-1047
Phone (352) 404-6959

Other practice location 2

720 Almond St
Clermont, FL 34711-3124
Phone (352) 404-6959

Other identifiers 1

IdentifierTypeStateIssuer
0242060488MedicaidFL

Other names 1

  • Mireda Martinez-Sanchez Other name

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
I20091222000135 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 9830164995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
University of Puerto Rico School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Margarita Correa LLCGroup PAC ID 4183769326, 3 clinicians

Practice addresses (Care Compare)

720 Almond St
Clermont, FL 34711-3124
Phone (352) 404-6959

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101065FLMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margarita Correa LLC Physical Medicine & Rehabilitation CurrentSince Mar 15, 2015 Accepting new patients
Clinica de Medicina Deportiva del Caribe Inc. Past Accepting new patients

Locations

720 Almond St
Clermont, FL 34711
Phone (352) 404-6959

1198 Cypress Glen Cir
Kissimmee, FL 34741
Phone (352) 404-6959

621 Wilkinson St
Orlando, FL 32803
Phone (352) 404-6959

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760454953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ALMOND ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113124",
            "telephone_number": "352-404-6959",
            "fax_number": "352-404-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417560",
            "telephone_number": "352-404-6959",
            "fax_number": "352-404-6960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Wilkinson St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031047",
            "country_code": "US",
            "telephone_number": "352-404-6959",
            "fax_number": "352-404-6960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Almond St",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347113124",
            "country_code": "US",
            "telephone_number": "352-404-6959",
            "fax_number": "352-404-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MIREDA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME101065",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "ME101065",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0242060488",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIREDA",
            "last_name": "MARTINEZ-SANCHEZ",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.