Active NPI
Mart Medical Group Inc
- General Practice Physician
- Miami, FL
National Provider Identifier
1801427463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MART MEDICAL GROUP INC
- Practice address
- 7311 NW 36TH St Unit 7311
Miami, FL 33166-6704 - Phone
- (786) 640-0602
- Fax
- (786) 640-0603
- NPI assigned
- Jan 31, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberto Martinez Torres
- Title
- President
- Phone
- (786) 640-0602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
7311 NW 36TH St Unit 7311
Miami, FL 33166-6704
Mailing address
6101 SW 76TH St
South Miami, FL 33143-5021
Phone (305) 342-4737
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1047926 | Other | FL | DCF LICENSE |
| NG312 | Other | FL | AHCA |
| 1047924 | Other | FL | DCF LICENSE |
| 1047925 | Other | FL | INTENSIVE OUTPATIENT TREATMENT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Mart Medical Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- West Palm Beach, FL
- NPI 1356018311
Locations
7311 NW 36th St
Unit 7311
Miami, FL 33166
Phone (786) 640-0602
6101 SW 76th St
South Miami, FL 33143
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Miami, FL
- NPI 1083416754
-
- Family Nurse Practitioner
- Hollywood, FL
- NPI 1649938051
-
- Primary Care Nurse Practitioner
- Palm Coast, FL
- NPI 1497479083
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1457059933
-
- Family Medicine Physician
- Miami, FL
- NPI 1316986995
-
- Nurse Practitioner
- Miami, FL
- NPI 1558038299
-
- Behavior Analyst
- Miami, FL
- NPI 1003340589
-
- Mental Health Counselor
- Cutler Bay, FL
- NPI 1285187039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711929600000",
"number": "1801427463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 SW 76TH ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435021",
"telephone_number": "305-342-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7311 NW 36TH ST UNIT 7311",
"city": "MIAMI",
"state": "FL",
"postal_code": "331666704",
"telephone_number": "786-640-0602",
"fax_number": "786-640-0603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MART MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-31",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A",
"authorized_official_last_name": "MARTINEZ TORRES",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-640-0602"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DCF LICENSE",
"identifier": "1047926",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "NG312",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DCF LICENSE",
"identifier": "1047924",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTENSIVE OUTPATIENT TREATMENT",
"identifier": "1047925",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.