Histoderm Group LLC

Primary specialty

Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X

Legal business name

HISTODERM GROUP LLC

Practice address

7091 SW 47TH St Ste C
Miami, FL 33155-4652

Phone

(305) 934-5046

NPI assigned

Oct 28, 2025

Organization subpart

No

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

Authorized official

Name

Isvett Martinez

Title

Owner

Phone

(305) 934-5046

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1770451007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7091 SW 47TH ST STE C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554652",
            "telephone_number": "305-934-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7091 SW 47TH ST STE C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554652",
            "telephone_number": "305-934-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISTODERM GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ISVETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-934-5046"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon Francisco Hirzel III, MD
• Leon M Hirzel, M.D.
• Jennifer Hislop, M.D.
• Hispanic Healthcare Center Inc
• Hispano Medical Center LLC
• Histopathology Consultants, PA
• Nicole Hitchcock, MD
• Ana Gael Hitchman, LPN
• Judine Tessier Hitchmon, LCSW
• Yasmin Hizmeri

• Laboratory Management Specialist/Technologist in Miami, FL
• Providers in Miami, FL by specialty
• Laboratory Management Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.