Individual provider Active NPI

Jose R Martin, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1770522963
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME57497 Issued in FL
Practice address
3119 Coral Way Unit 3121a
Miami, FL 33145-3294
Phone
(786) 360-3213
NPI assigned
Jun 5, 2006
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME57497 FL Primary

Addresses

Primary practice location

3119 Coral Way Unit 3121a
Miami, FL 33145-3294

Mailing address

3119 Coral Way Unit 3121a
Miami, FL 33145-3294
Phone (786) 360-3213

Other names 1

  • Jose R Martin Sr. 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
I20050301000684 FL Practitioner - General Practice 4880647981

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME57497FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Health Centers Inc Family Medicine CurrentSince Sep 25, 2023 Accepting new patients
Royal Health Centers Inc CurrentSince Jun 8, 2025 Accepting new patients
Clinica Venamer, LLC Past Accepting new patients

Locations

1641 W Flagler St
Miami, FL 33135
Phone (786) 360-3213

3119 Coral Way
Unit 3121A
Miami, FL 33145
Phone (786) 360-3213

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1770522963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 CORAL WAY UNIT 3121A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453294",
            "telephone_number": "786-360-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 CORAL WAY UNIT 3121A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453294",
            "telephone_number": "786-360-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOSE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME57497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "MARTIN",
            "middle_name": "R",
            "suffix": "SR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.