Individual provider Active NPI

Juan M Martinez, MD

  • Infectious Disease Physician
  • Tampa, FL
National Provider Identifier
1962528828
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0034684 Issued in FL
Practice address
4600 N Habana Ave
Suite 18
Tampa, FL 33614-7166
Phone
(813) 875-6520
Fax
(813) 875-6416
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME0034684 FL Primary

Addresses

Primary practice location

4600 N Habana Ave
Suite 18
Tampa, FL 33614-7166

Mailing address

PO Box 292474
Tampa, FL 33687-2474
Phone (813) 875-6520

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
I20101210000923 FL Practitioner - Infectious Disease 1153518550 Practice locations: Tampa, FL

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2123 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6545
Phone (813) 875-6520

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0034684FLMDInfectious Disease Physician
34684FLMDStudent in an Organized Health Care Education/Training Program

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962528828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292474",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336872474",
            "telephone_number": "813-875-6520",
            "fax_number": "813-875-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N HABANA AVE",
            "address_2": "SUITE 18",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147166",
            "telephone_number": "813-875-6520",
            "fax_number": "813-875-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JUAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0034684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.