Active NPI
Pamela Mae Martinez, MD
- Family Medicine Physician
- Lutz, FL
National Provider Identifier
1871595132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME73683
- Practice address
- 208 Crystal Grove Blvd
Lutz, FL 33548-6460 - Phone
- (813) 949-4991
- Fax
- (813) 949-4936
- NPI assigned
- Jun 1, 2005
- Last updated
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME73683 | FL | Primary |
Addresses
Primary practice location
208 Crystal Grove Blvd
Lutz, FL 33548-6460
Mailing address
10051 5TH St N Ste 200
St Petersburg, FL 33702-2211
Phone (727) 824-0780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252882700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME73683 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph's Community Care Inc | Family Medicine | Past | Accepting new patients |
| Optumcare Florida Ci, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
-
- Family Medicine Physician
- Tampa, FL
- NPI 1003946591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1871595132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10051 5TH ST N STE 200",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337022211",
"telephone_number": "727-824-0780",
"fax_number": "727-658-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 CRYSTAL GROVE BLVD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335486460",
"telephone_number": "813-949-4991",
"fax_number": "813-949-4936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "PAMELA",
"middle_name": "MAE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME73683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252882700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
- Emily A Martin, P.A
- Jennifer Marie Martinc, OTR/L
- Kenier Martinez Gonzalez
- Arlene M Martinez-Delio, M.D.
- Brigitte Marie Martinez, APRN, FNP-C
- Martis Legacy Holdings Inc. (Always Best Care)
- Tracy Marx-Renner, LPN
- Shivika Sunil Maskara
- Camilla Mason
- Massage by Joyce, LLC (Therapeutic Massage and Pain Relief Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.