NPIMap

Organization Active NPI

New Life Obstetrical Care Inc

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1962455097
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0032863 Issued in FL
Legal business name
NEW LIFE OBSTETRICAL CARE INC
Practice address
400 East Martin Luther King Jr Blvd
Suite 105
Tampa, FL 33603
Phone
(813) 239-9166
Fax
(813) 239-3011
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Luciano Augustine Martinez Jr., MD
Title
Owner President
Phone
(813) 239-9166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME0032863 FL Primary

Addresses

Primary practice location

400 East Martin Luther King Jr Blvd
Suite 105
Tampa, FL 33603

Mailing address

400 East Martin Luther King Jr Blvd
Suite 105
Tampa, FL 33603
Phone (813) 239-9166

Other identifiers 3

IdentifierTypeStateIssuer
042377700MedicaidFL
064971600MedicaidFL
374439600MedicaidFL

Other names 1

  • New Life Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1962455097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-239-9166",
            "fax_number": "813-239-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EAST MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-239-9166",
            "fax_number": "813-239-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE OBSTETRICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LUCIANO",
        "authorized_official_middle_name": "AUGUSTINE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "813-239-9166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0032863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042377700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064971600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374439600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.