Marvin Javier Martinez

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

4000175523 Issued in FL

Practice address

9999 NW 9TH Street Cir Apt 2
Miami, FL 33172-5155

Phone

(786) 365-1165

NPI assigned

Sep 18, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1962280495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 NW 9TH STREET CIR APT 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331725155",
            "telephone_number": "786-365-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 NW 9TH STREET CIR APT 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331725155",
            "telephone_number": "786-365-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARVIN",
        "middle_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "4000175523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariolis Martinez
• Marissa D Martinez
• Maritza Martinez, RBT
• Mark Martinez
• Marlen E. Martinez, MS
• Maryuri Iliana Martinez
• Maydel Martinez
• Maydolis Martinez
• Mayelin Martinez, BA
• Maykel Martinez, ARNP, FNP-C

• Surgical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.