Organization Active NPI

Mart Medical Group Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1801427463
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Apr 1, 2024

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1047926OtherFLDCF LICENSE
NG312OtherFLAHCA
1047924OtherFLDCF LICENSE
1047925OtherFLINTENSIVE OUTPATIENT TREATMENT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210125000565 FL Part B Supplier - Clinic/Group Practice 9335553825 Receives reassigned benefits from 6 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Mart Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.