Individual provider Active NPI

Humberto Sergio Martinez, C.PH.

  • Pharmacist
  • Miami, FL
National Provider Identifier
1912906355
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS17813 Issued in FL
Practice address
11865 SW 26TH St
Miami, FL 33175-2400
Phone
(305) 227-0023
Fax
(305) 227-3021
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS17813 FL Primary

Addresses

Primary practice location

11865 SW 26TH St
Miami, FL 33175-2400

Mailing address

14217 SW 45TH St
Miami, FL 33175-4316
Phone (305) 559-0638

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS17813FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1912906355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14217 SW 45TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754316",
            "telephone_number": "305-559-0638",
            "fax_number": "305-553-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11865 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752400",
            "telephone_number": "305-227-0023",
            "fax_number": "305-227-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "HUMBERTO",
        "middle_name": "SERGIO",
        "name_prefix": "Mr.",
        "credential": "C.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS17813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.