Organization Active NPI

Dr. Barbara Martinez MD PA

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1790022507
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME103476 Issued in FL
Legal business name
DR. BARBARA MARTINEZ MD PA
Practice address
17900 NW 5TH St Ste 205
Pembroke Pines, FL 33029-2809
Phone
(954) 367-3157
NPI assigned
Jan 14, 2013
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Barbara R Martinez Escobar, MDNPI 1649435041
Title
MD
Phone
(954) 367-3157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME103476 FL Primary

Addresses

Primary practice location

17900 NW 5TH St Ste 205
Pembroke Pines, FL 33029-2809

Mailing address

17900 NW 5TH St Ste 205
Pembroke Pines, FL 33029-2809
Phone (954) 367-3157

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241022000026 FL Part B Supplier - Clinic/Group Practice 5698207199 Receives reassigned benefits from 3 practitioners
Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

17900 NW 5th St
Ste 105
Pembroke Pines, FL 33029

Practitioners & affiliated clinicians

Practitioners 5

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": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1790022507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 NW 5TH ST STE 205",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292809",
            "telephone_number": "954-367-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 NW 5TH ST STE 205",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292809",
            "telephone_number": "954-367-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BARBARA MARTINEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ ESCOBAR",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-367-3157",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.