Individual provider Active NPI

Linda Martinez, M.D.

  • Adult Medicine Physician
  • Doral, FL
National Provider Identifier
1821411745
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME125615 Issued in FL
Practice address
3901 NW 79TH Ave
Suite 120
Doral, FL 33166-6508
Phone
(305) 552-7660
Fax
(305) 552-7662
NPI assigned
Jan 29, 2014
Last updated
Aug 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME125615 FL
General Practice Physician 208D00000X ME125615 FL
Adult Medicine Physician 207QA0505X ME125615 FL Primary

Addresses

Primary practice location

3901 NW 79TH Ave
Suite 120
Doral, FL 33166-6508

Mailing address

3901 NW 79TH Ave
Suite 120
Doral, FL 33166
Phone (305) 552-7660

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
ME125615FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Martinez MD LLC Pediatrics Current Accepting new patients

Locations

3901 NW 79th Ave
Ste 120
Doral, FL 33166
Phone (305) 552-7660

Organizations & group practices 1

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": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1821411745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 NW 79TH AVE",
            "address_2": "SUITE 120",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-552-7660",
            "fax_number": "305-552-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NW 79TH AVE",
            "address_2": "SUITE 120",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666508",
            "telephone_number": "305-552-7660",
            "fax_number": "305-552-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LINDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME125615",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME125615",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME125615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.