Martin Dermatology, PL

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME103509 Issued in FL

Legal business name

MARTIN DERMATOLOGY, PL

Practice address

951 Brickell Ave
1707
Miami, FL 33131-3930

Phone

(305) 742-6481

NPI assigned

Oct 21, 2011

Last updated

Oct 21, 2011By 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

Dr. Lucy K Martin, M.D.NPI 1689885691

Title

Owner

Phone

(305) 742-6481

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Lucy Kristine Martin, MD

  • Dermatology Physician
  • Miami, FL
  • NPI 1689885691
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1801171830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 BRICKELL AVE",
            "address_2": "1707",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 BRICKELL AVE",
            "address_2": "1707",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313930",
            "telephone_number": "305-742-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN DERMATOLOGY, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-742-6481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME103509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geidy Martin Betancourt
• Cristina De la Caridad Martin Blanco, FNP
• Liset Martin Camacho
• Luciana Martin Costa
• Iliana Martin Daniel, RBT
• Claudia Martin Diax
• Elisabet Martin Dominguez
• Martin Elderly Care,Inc
• Cidi Martin Exposito
• Rebeca Martin Fernandez

• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.