Individual provider Active NPI

Miguel Eladio Martinez, M.D

  • Obstetrics & Gynecology Physician
  • Miramar, FL
National Provider Identifier
1851458640
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME40138 Issued in FL
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

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
371295800MedicaidFL

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
I20100226000621 FL Practitioner - Obstetrics/Gynecology 8022153261 Reassigns benefits to 2 organizations

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 Hospital, Miramar, FL, CCN 100285

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME40138FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Femhealth Group LLC Obstetrics & Gynecology Current Accepting new patients
Mia Donna LLC Obstetrics & Gynecology CurrentSince Jul 1, 2020 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.