Individual provider Active NPI

Mari Delmar Martinez Rodriguez, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1851044259
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1541 Issued in FL
Practice address
8367 Lake Waverly LN
Orlando, FL 32829-7655
Phone
(407) 580-9653
NPI assigned
Jan 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23307 PR
Student in an Organized Health Care Education/Training Program 390200000X 16081 PR
General Practice Physician 208D00000X ACN1541 FL Primary

Addresses

Primary practice location

8367 Lake Waverly LN
Orlando, FL 32829-7655

Mailing address

8367 Lake Waverly LN
Orlando, FL 32829-7655
Phone (407) 580-9653

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidPR

Other names 1

  • Mari Delmar Martinez Rodriguez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014002911 FL Practitioner - General Practice 5799217857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 Neighborhood Market Rd
Suite 111 CDT of Florida
Orlando, FL 32825-3525
Phone (407) 250-4088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23307PRMDClinical Social Worker
ACN1541FLMDGeneral Practice Physician
16081PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aum International Foundation, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Centers for Diagnostic and Treatment of Florida, LLC General Practice CurrentSince Oct 1, 2024 Accepting new patients

Locations

222 Neighborhood Market Rd
Ste 111
Orlando, FL 32825
Phone (407) 250-4088

483 N Semoran Blvd
Ste 104
Winter Park, FL 32792
Phone (407) 557-2896

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDEHDD/Endpoint/HDEHDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1851044259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8367 LAKE WAVERLY LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328297655",
            "telephone_number": "407-580-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8367 LAKE WAVERLY LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328297655",
            "telephone_number": "407-580-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ RODRIGUEZ",
        "first_name": "MARI",
        "middle_name": "DELMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23307",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "16081",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARI",
            "last_name": "MARTINEZ RODRIGUEZ",
            "middle_name": "DELMAR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.