Individual provider Active NPI

Jose Manuel Martinez, MD

  • Interventional Cardiology Physician
  • Miami, FL
National Provider Identifier
1912931312
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME54954 Issued in FL
Practice address
12494 SW 127TH Ave
Miami, FL 33186-6597
Phone
(786) 527-9172
NPI assigned
Jul 10, 2006
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME54954 FL
Interventional Cardiology Physician 207RI0011X ME54954 FL Primary

Addresses

Primary practice location

12494 SW 127TH Ave
Miami, FL 33186-6597

Mailing address

PO Box 566480
Miami, FL 33256-6480

Other identifiers 1

IdentifierTypeStateIssuer
0611018-00MedicaidFL

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
I20040616000553 FL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Cardiovascular Disease (Cardiology) 6204810302 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME54954FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Physicians LLC CurrentSince Jul 16, 2021 Accepting new patients
South Florida International Cardiology Consultants Inc Cardiovascular Disease Past Accepting new patients
Coral Gables MRI Inc Past Accepting new patients
University of Miami Interventional Cardiology Past Accepting new patients
University of Miami Cardiovascular Disease Past Accepting new patients
Public Health Trust of Dade County Florida Past Accepting new patients
Mercy Medical Development Inc Past Accepting new patients

Locations

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

Interoperability endpoints

  • Direct secure messaging: jos19563@cerner.directbaptisthealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1912931312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566480",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332566480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12494 SW 127TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866597",
            "telephone_number": "786-527-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME54954",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME54954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0611018-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.