Carlos Manuel Martinez Lara

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

BP10097097 Issued in TX

Practice address

7955 NW 12TH St Ste 405
Doral, FL 33126-1823

Phone

(786) 615-4409

Fax

(786) 637-2974

NPI assigned

Sep 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1962288779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12710 SW 43RD DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 NW 12TH ST STE 405",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261823",
            "telephone_number": "786-615-4409",
            "fax_number": "786-637-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ LARA",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-296349",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10097097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa M Martin, D.M.D.
• Diago Daniel Martinez Crespo
• Divo Manuel Martinez Crespo
• Fermina Martinez Franco II
• Martinez Health Care & Rehabilitation
• Zaily Martinez Ledesma
• Maria Fernanda Martinez Mantilla
• Mahe Martinez Marrero, CBHCM
• Ricardo Eduardo Martinez Martinez, MD
• Sonia Martinez Nusembaum

• Student in an Organized Health Care Education/Training Program in Doral, FL
• Providers in Doral, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; 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.