Organization Active NPI

Martin N Zaiac, M.D., LLC

  • Specialist
  • Miami Beach, FL
National Provider Identifier
1811939754
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MARTIN N ZAIAC, M.D., LLC
Practice address
4308 Alton Rd
Suite 750
Miami Beach, FL 33140-4556
Phone
(305) 532-4478
Fax
(305) 532-9753
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Mrs. Onelia Valdes
Title
Office Manager
Phone
(305) 532-4478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4308 Alton Rd
Suite 750
Miami Beach, FL 33140-4556

Mailing address

4308 Alton Rd
Suite 750
Miami Beach, FL 33140-4556
Phone (305) 532-4478

Other identifiers 1

IdentifierTypeStateIssuer
052392500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050120000825 FL Part B Supplier - Clinic/Group Practice 6002865664 Receives reassigned benefits from 5 practitioners

National Provider Directory

National Provider Directory

Locations

1150 E Hallandale Beach Blvd
Ste A
Hallandale Beach, FL 33009

1150 E Hallandale Beach Blvd
Hallandale Beach, FL 33009

10921 SW 5th St
#23
Miami, FL 33174

1400 NW 12th Ave
Ste 4
Miami, FL 33136
Phone (305) 324-2110

4302 Alton Rd
Ste 1005
Miami Beach, FL 33140
Phone (305) 672-2666

4308 Alton Rd
Ste 750
Miami Beach, FL 33140
Phone (305) 324-2110

Practitioners & affiliated clinicians

Practitioners 5

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": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1811939754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 750",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-532-4478",
            "fax_number": "305-532-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 750",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-532-4478",
            "fax_number": "305-532-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN N ZAIAC, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "ONELIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-532-4478",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052392500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.