Individual provider Active NPI

Roberto Martinez Caballero, MD

  • Psychiatry Physician
  • Hialeah, FL
National Provider Identifier
1790390250
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME175581 Issued in FL
Practice address
4225 W 20TH Ave
Hialeah, FL 33012-5835
Phone
(786) 828-7552
NPI assigned
Sep 11, 2020
Reactivated
Feb 11, 2022
Last updated
Nov 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME175581 FL Primary

Addresses

Primary practice location

4225 W 20TH Ave
Hialeah, FL 33012-5835

Mailing address

12555 Biscayne Blvd # 1134
North Miami, FL 33181-2522

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME175581FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalis10 Inc CurrentSince Dec 2, 2022 Accepting new patients
Mendez Eyes Optical LLC PastSince Jun 9, 2024 Accepting new patients

Locations

5950 W Oakland Park Blvd
Ste 300
Lauderhill, FL 33313
Phone (954) 717-4066

Organizations & group practices 2

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1790390250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 BISCAYNE BLVD # 1134",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812522",
            "fax_number": "305-891-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125835",
            "telephone_number": "786-828-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ CABALLERO",
        "first_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "deactivation_date": "2021-03-24",
        "reactivation_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME175581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

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