Amilys Garcia Martin

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11004867 Issued in FL

Practice address

1140 S Semoran Blvd Ste E
Orlando, FL 32807-1459

Phone

(407) 384-9165

NPI assigned

Oct 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: amilys.garcia.1@32578.direct.athenahealth.com

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.

• PCC Medical Holdings LLC

  • Internal Medicine Physician
  • Lake Worth, FL
  • NPI 1174167993
  Medicare reassignment NPD
• Alas Health Corp

  • Health Service Clinic/Center
  • Orlando, FL
  • NPI 1184576076
  NPD Authorized official
• Alas Health Corp

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1821900598
  Authorized official Same address or phone

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1902448228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 ANNA CATHERINE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287407",
            "telephone_number": "407-969-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S SEMORAN BLVD STE E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071459",
            "telephone_number": "407-384-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA MARTIN",
        "first_name": "AMILYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11004867",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME90674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "G625000785070",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melany Garcia Hernandez
• Violeta Marion Garcia Hernandez
• Yolaine De Los Angeles Garcia Jardines
• Marlyn Jiovette Garcia Lopez
• Yudelmar Julieth Garcia Maldonado
• Wililsa Garcia Medina, DOULA
• Michelle Garcia Mendoza, MS CFY-SLP
• Marilys Beatriz Garcia Moran, RBT
• Aylenis Garcia Murga
• Noemi Y Garcia Negron

• Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.