Individual provider Active NPI

Jose Celestino Martin, MD

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1861429425
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME35511 Issued in FL
Practice address
6850 Coral Way
Miami, FL 33155-1758
Phone
(305) 265-4441
Fax
(305) 726-4377
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME35511 FL Primary

Addresses

Primary practice location

6850 Coral Way
Miami, FL 33155-1758

Mailing address

2400 SW 69TH Ave
Miami, FL 33155-2919
Phone (305) 265-4441

Other practice location 1

7190 SW 87th Ave Ste 203
Miami, FL 33173-2512
Phone (305) 412-6323

Other practice location 2

12905 SW 42nd St Ste 106
Miami, FL 33175-2910
Phone (305) 265-4441

Other identifiers 1

IdentifierTypeStateIssuer
065557100MedicaidFL

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
I20050221000080 FL Practitioner - Cardiovascular Disease (Cardiology) 9931151768 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Miami, LM Miller School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premium Healthcare Holdings, LLLPGroup PAC ID 7315320207, 8 clinicians
Diagnostic Readers Group IncGroup PAC ID 6204802176, 40 clinicians

Practice addresses (Care Compare)

2400 SW 69TH Ave
Suite 100
Miami, FL 33155-2947
Phone (305) 265-4441

6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
P E T - CT & MRI of Miami LLC CurrentSince Mar 24, 2023 Accepting new patients
Diagnostic Readers Group Inc Cardiovascular Disease CurrentSince Nov 30, 1999 Accepting new patients
Premium Healthcare Holdings, LLLP CurrentSince Sep 1, 2022 Accepting new patients
Hoover Family Medicine PA Past Accepting new patients

Locations

2400 SW 69th Ave
Ste 100
Miami, FL 33155

6850 Coral Way
Ste 101
Miami, FL 33155
Phone (786) 268-1116

7190 SW 87th Ave
Ste 203
Miami, FL 33173
Phone (786) 263-0527

2400 SW 69th Ave
Miami, FL 33155
Phone (305) 413-5070

12905 SW 42nd St
Ste 106
Miami, FL 33175
Phone (305) 229-2020

6850 Coral Way
Miami, FL 33155
Phone (305) 665-8205

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: premiumhealthcare.josecmartin@117461.advancedmd-direct.com

Organizations & group practices 5

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1861429425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SW 69TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552919",
            "telephone_number": "305-265-4441",
            "fax_number": "305-735-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551758",
            "telephone_number": "305-265-4441",
            "fax_number": "305-726-4377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7190 SW 87th Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331732512",
            "country_code": "US",
            "telephone_number": "305-412-6323",
            "fax_number": "305-412-6326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12905 SW 42nd St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331752910",
            "country_code": "US",
            "telephone_number": "305-265-4441",
            "fax_number": "305-265-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOSE",
        "middle_name": "CELESTINO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME35511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065557100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.