Active NPI
Jose Manuel Martinez, MD
- Interventional Cardiology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME54954
- Practice address
- 12494 SW 127TH Ave
Miami, FL 33186-6597 - Phone
- (786) 527-9172
- NPI assigned
- Jul 10, 2006
- Last updated
- Jan 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0611018-00 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME54954 | FL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Physicians LLC | Current | 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
- 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.
-
- Specialist
- Miami, FL
- NPI 1891893343
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Coral Gables, FL
- NPI 1336236363
-
dba Mercy Outpatient Center
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1992787576
-
dba JMG Specialty Physicians
- Family Medicine Physician
- Miami, FL
- NPI 1902978695
-
dba Miami International Cardiology Consultants, Inc.
- Interventional Cardiology Physician
- Miami, FL
- NPI 1033119656
Cardiovascular Disease
-
dba UMiami Medicine - Interventional Cardiology
- Interventional Cardiology Physician
- Miami, FL
- NPI 1376933309
-
dba UMiami Medicine - Cardiology
- Cardiovascular Disease Physician
- Miami, FL
- NPI 1902859747
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.