Individual provider Active NPI

Jose Ramon Martinez-Alba Jr., M.D.

  • Surgery Physician
  • Hialeah, FL
National Provider Identifier
1962507038
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME55751 Issued in FL
Practice address
7100 W 20TH Ave
Palmetto Medical Plaza Suite 514
Hialeah, FL 33016-1824
Phone
(305) 556-2255
Fax
(305) 821-7958
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME55751 FL Primary

Addresses

Primary practice location

7100 W 20TH Ave
Palmetto Medical Plaza Suite 514
Hialeah, FL 33016-1824

Mailing address

7100 W 20TH Ave
Palmetto Medical Plaza Suite 514
Hialeah, FL 33016-1897
Phone (305) 556-2255

Other identifiers 1

IdentifierTypeStateIssuer
039476900MedicaidFL

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
I20031229000933 FL Practitioner - General Surgery 7315845328

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1962507038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "address_2": "PALMETTO MEDICAL PLAZA SUITE 514",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161897",
            "telephone_number": "305-556-2255",
            "fax_number": "305-821-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "address_2": "PALMETTO MEDICAL PLAZA SUITE 514",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161824",
            "telephone_number": "305-556-2255",
            "fax_number": "305-821-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-ALBA",
        "first_name": "JOSE",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME55751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039476900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.