NPIMap

Individual provider Active NPI

Eduardo Miguel Martinez, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Miami, FL
National Provider Identifier
1891957940
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
ME112645 Issued in FL
Practice address
7300 SW 93Rd Ave Ste 200
Miami, FL 33173-3212
Phone
(305) 903-0510
Fax
(305) 663-5929
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301093015 MI
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X ME112645 FL Primary

Addresses

Primary practice location

7300 SW 93Rd Ave Ste 200
Miami, FL 33173-3212

Mailing address

7300 SW 93Rd Ave Ste 200
Miami, FL 33173-3212
Phone (305) 971-0510

Other practice location 1

7300 SW 93rd Ave Ste 200
Miami, FL 33173-3212
Phone (305) 903-0510

Other identifiers 1

IdentifierTypeStateIssuer
109660800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000811 FL Practitioner - Obstetrics/Gynecology 1355591637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

7300 SW 93Rd Ave
200 I Anthony Cardella MD LLC
Miami, FL 33173-3212
Phone (305) 971-0510

Hospital & facility affiliations

  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Jackson Health System Hospital, Miami, FL, CCN 100022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301093015MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Aug 5, 2012 Accepting new patients
University Urogynecology Association, PC Obstetrics & Gynecology Past Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

7300 SW 93rd Ave
Ste 200
Miami, FL 33173
Phone (305) 903-0510

2801 NW 79th Ave
Ste 4003
Miami, FL 33122

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 and National Provider Directory roles.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1891957940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW 93RD AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733212",
            "telephone_number": "305-971-0510",
            "fax_number": "305-663-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SW 93RD AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733212",
            "telephone_number": "305-903-0510",
            "fax_number": "305-663-5929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 SW 93rd Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733212",
            "country_code": "US",
            "telephone_number": "305-903-0510",
            "fax_number": "305-663-5929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EDUARDO",
        "middle_name": "MIGUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2022-08-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301093015",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME112645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109660800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.