Active NPI
Miguel Eladio Martinez, M.D
- Obstetrics & Gynecology Physician
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME40138
- Practice address
- 1951 SW 172ND Ave
Suite 210
Miramar, FL 33029-5593 - Phone
- (954) 885-5030
- Fax
- (954) 272-9026
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME40138 | FL | Primary |
Addresses
Primary practice location
1951 SW 172ND Ave
Suite 210
Miramar, FL 33029-5593
Mailing address
1951 SW 172ND Ave
Suite 210
Miramar, FL 33029-5593
Phone (954) 885-5030
Other practice location 1
7100 W 20th Ave Ste 304
Hialeah, FL 33016-1812
Phone (305) 822-3044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371295800 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1951 SW 172ND Ave
Suite 210
Miramar, FL 33029-5613
Hospital & facility affiliations
- Memorial Hospital Miramar
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME40138 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Femhealth Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Mia Donna LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
7100 W 20th Ave
Ste 304
Hialeah, FL 33016
Phone (305) 556-3122
1951 SW 172nd Ave
Ste 210
Miramar, FL 33029
Phone (954) 538-5699
1951 SW 172nd Ave
Miramar, FL 33029
Phone (954) 507-4494
1971 SW 172nd Ave
Ste 3128
Miramar, FL 33029
Phone (954) 730-5030
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJACBD/Endpoint/GJACBD
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Hialeah, FL
- NPI 1790306256
-
- Obstetrics & Gynecology Physician
- Hialeah, FL
- NPI 1033789144
-
- Obstetrics & Gynecology Physician
- Hollywood, FL
- NPI 1245743012
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar, FL
- NPI 1326021197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1851458640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 SW 172ND AVE",
"address_2": "SUITE 210",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330295593",
"telephone_number": "954-885-5030",
"fax_number": "954-272-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 SW 172ND AVE",
"address_2": "SUITE 210",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330295593",
"telephone_number": "954-885-5030",
"fax_number": "954-272-9026"
}
],
"practiceLocations": [
{
"address_1": "7100 W 20th Ave Ste 304",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330161812",
"country_code": "US",
"telephone_number": "305-822-3044",
"fax_number": "954-272-9026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MIGUEL",
"middle_name": "ELADIO",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME40138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371295800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.