Mia Donna LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MIA DONNA LLC

Practice address

1971 SW 172ND Ave Ste 3128
Miramar, FL 33029-5623

Phone

(954) 885-5030

Fax

(954) 272-9002

NPI assigned

May 6, 2020

Last updated

Oct 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Olga Lucia Martinez, RNP

Title

Administrator

Phone

(786) 223-5369

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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.

• Miguel Eladio Martinez, M.D

  • Obstetrics & Gynecology Physician
  • Miramar, FL
  • NPI 1851458640
  Medicare reassignment NPD

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1790306256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17725 SW 27TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295107",
            "telephone_number": "786-223-5369",
            "fax_number": "954-272-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 SW 172ND AVE STE 3128",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295623",
            "telephone_number": "954-885-5030",
            "fax_number": "954-272-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3327 Medical Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338705531",
            "country_code": "US",
            "telephone_number": "954-885-5030",
            "fax_number": "954-885-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIA DONNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "LUCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-223-5369",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RNP"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.