Active NPI
Jurek Martinez, LMT
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Doral, FL
National Provider Identifier
1780957910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Practice address
- 3900 NW 79TH Ave
Suite 476a
Doral, FL 33166-6556 - Phone
- (786) 395-5545
- NPI assigned
- Feb 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Primary | ||
| Massage Therapist | 225700000X | MA60762 | FL |
Addresses
Primary practice location
3900 NW 79TH Ave
Suite 476a
Doral, FL 33166-6556
Mailing address
3900 NW 79TH Ave
Suite 476a
Doral, FL 33166-6556
Phone (786) 395-5545
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60762 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1780957910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 NW 79TH AVE",
"address_2": "SUITE 476A",
"city": "DORAL",
"state": "FL",
"postal_code": "331666556",
"telephone_number": "786-395-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 NW 79TH AVE",
"address_2": "SUITE 476A",
"city": "DORAL",
"state": "FL",
"postal_code": "331666556",
"telephone_number": "786-395-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JUREK",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-19",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA60762",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.