Individual provider Active NPI

Marta M Iglesias

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1932136223
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME48527 Issued in FL
Practice address
5848 West Atlantic Ave Suite 143
Delray Beach, FL 33484-5652
Phone
(561) 270-6950
Fax
(561) 404-4028
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME48527 FL Primary

Addresses

Primary practice location

5848 West Atlantic Ave Suite 143
Delray Beach, FL 33484-5652

Mailing address

5848 West Atlantic Ave Suite 143
Delray Beach, FL 33484-5652
Phone (561) 270-6950

Other identifiers 1

IdentifierTypeStateIssuer
1932136223MedicaidFL

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
I20061003000085 FL Practitioner - Internal Medicine 2860497567 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME48527FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Oct 1, 2022 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Oct 1, 2022 Accepting new patients
Evidence Base Medical Internal Medicine Past Accepting new patients
Acute Care Physicians, LLC Past Accepting new patients
Qualmed of Miami, Inc. Past Accepting new patients

Locations

5848 Atlantic Ave
Ste 143
Delray Beach, FL 33484
Phone (561) 270-6950

4998 10th Ave N
Greenacres, FL 33463
Phone (305) 965-4997

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

Organizations & group practices 5

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1932136223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 WEST ATLANTIC AVE SUITE 143",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334845652",
            "telephone_number": "561-270-6950",
            "fax_number": "561-404-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 WEST ATLANTIC AVE SUITE 143",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334845652",
            "telephone_number": "561-270-6950",
            "fax_number": "561-404-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "MARTA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME48527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932136223",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.