Organization Active NPI

Martinez & Lewis M.D.'S, P.a.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1861505208
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0032863 Issued in FL
Legal business name
MARTINEZ & LEWIS M.D.'S, P.A.
Practice address
4129 N Armenia Ave
Suite a
Tampa, FL 33607-6436
Phone
(813) 870-3342
Fax
(813) 877-7689
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Dr. Luciano Augustine Martinez Jr., MDNPI 1609988120
Title
Owner President
Phone
(813) 870-3342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME0032863 FL Primary

Addresses

Primary practice location

4129 N Armenia Ave
Suite a
Tampa, FL 33607-6436

Mailing address

4129 N Armenia Ave
Suite a
Tampa, FL 33607
Phone (813) 870-3342

Other identifiers 3

IdentifierTypeStateIssuer
271574100MedicaidFL
064971600MedicaidFL
042377700MedicaidFL

National Provider Directory

National Provider Directory

Locations

109 Carver Ave
Brandon, FL 33510

6319 Memorial Hwy
Tampa, FL 33615
Phone (310) 365-6789

4129 N Armenia Ave
Ste A
Tampa, FL 33607
Phone (813) 875-3884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1861505208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-870-3342",
            "fax_number": "813-877-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076436",
            "telephone_number": "813-870-3342",
            "fax_number": "813-877-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ & LEWIS M.D.'S, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LUCIANO",
        "authorized_official_middle_name": "AUGUSTINE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "813-870-3342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0032863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271574100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064971600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042377700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.