Individual provider Active NPI

Pedro P Martinez Ruiz, APRN

  • Primary Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1942947825
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11018377 Issued in FL
Practice address
8356 SW 40TH St Ste L
Miami, FL 33155-3356
Phone
(786) 870-9418
NPI assigned
May 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN9521286 FL
Primary Care Nurse Practitioner 363LP2300X APRN11018377 FL Primary

Addresses

Primary practice location

8356 SW 40TH St Ste L
Miami, FL 33155-3356

Mailing address

5411 W 5TH Ave
Hialeah, FL 33012-2537
Phone (786) 870-9418

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9521286FLMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1942947825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 W 5TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122537",
            "telephone_number": "786-870-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8356 SW 40TH ST STE L",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553356",
            "telephone_number": "786-870-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ RUIZ",
        "first_name": "PEDRO",
        "middle_name": "P",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9521286",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11018377",
            "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 May 12, 2022; 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.