Individual provider Active NPI

Ilsys Martinez, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1912503582
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1280 Issued in FL
Practice address
7200 NW 7TH St Ste 150
Miami, FL 33126-2941
Phone
(305) 266-2929
Fax
(786) 558-0242
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1280 FL Primary

Addresses

Primary practice location

7200 NW 7TH St Ste 150
Miami, FL 33126-2941

Mailing address

10580 SW 160TH CT
Miami, FL 33196-3181
Phone (305) 338-0530

Other identifiers 1

IdentifierTypeStateIssuer
ACN1280OtherFLDOH LICENSE

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
I20210907001459 FL Practitioner - General Practice 8426454083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

Practice addresses (Care Compare)

7200 NW 7TH St
Suite 202
Miami, FL 33126-2941
Phone (305) 266-2929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1280FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Centers, LLC CurrentSince May 7, 2024 Accepting new patients
Centrum Medical Holdings, LLC Current Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Jun 2, 2021 Accepting new patients
Centrum Medical Holdings, LLC Dba Centrum Health CurrentSince Jun 2, 2021 Accepting new patients
Medcare Centers, LLC CurrentSince May 7, 2024 Accepting new patients
Med Care Centers LLC Current Accepting new patients

Locations

1801 N University Dr
Ste 101
Coral Springs, FL 33071
Phone (954) 344-8100

10980 SW 184th St
Cutler Bay, FL 33157
Phone (305) 266-2928

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

3690 Davie Blvd
Ft Lauderdale, FL 33312
Phone (954) 833-0010

1460 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 455-2385

4218 E 4th Ave
Hialeah, FL 33013
Phone (305) 828-1971

900 W 49th St
Ste 308
Hialeah, FL 33012
Phone (305) 558-6622

900 W 49th St
Ste 101
Hialeah, FL 33012

900 W 49th St
Ste 206
Hialeah, FL 33012
Phone (305) 571-6292

2229 Sheridan St
Hollywood, FL 33020
Phone (954) 251-2381

28610 SW 157th Ave
Homestead, FL 33033
Phone (786) 873-1805

3138 N Federal Hwy
Lighthouse Point, FL 33064

612 S State Road 7
Margate, FL 33068
Phone (954) 535-1919

7200 NW 7th St
Ste 202
Miami, FL 33126
Phone (305) 262-5833

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

434 SW 12th Ave
Miami, FL 33130
Phone (305) 294-9292

11825 SW 26th St
Miami, FL 33175
Phone (786) 447-4582

4767 NW 183rd St
Miami Gardens, FL 33055
Phone (305) 351-9337

12709 Miramar Pkwy
Miramar, FL 33027
Phone (786) 970-8010

5730 SW 74th St
Ste 200
South Miami, FL 33143

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1912503582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10580 SW 160TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963181",
            "telephone_number": "305-338-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 NW 7TH ST STE 150",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262941",
            "telephone_number": "305-266-2929",
            "fax_number": "786-558-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ILSYS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH LICENSE",
            "identifier": "ACN1280",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.