Active NPI
Agustin Martinez M D P a
- Primary Care Clinic/Center
- Hialeah, FL
National Provider Identifier
1992892558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME82266
- Legal business name
- AGUSTIN MARTINEZ M D P A
- Practice address
- 250 E 49TH St
Hialeah, FL 33013-1855 - Phone
- (305) 822-6885
- Fax
- (305) 825-9965
- NPI assigned
- Oct 6, 2006
- Last updated
- Apr 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Agustin Martinez, M.D.
- Title
- Physician
- Phone
- (305) 822-6885
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME82266 | FL | Primary |
Addresses
Primary practice location
250 E 49TH St
Hialeah, FL 33013-1855
Mailing address
1324 SW 143Rd Ave
Miami, FL 33184-3223
Phone (305) 822-6885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261107400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
250 E 49th St
Hialeah, FL 33013
Phone (305) 822-6885
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Hialeah, FL
- NPI 1194762427
-
- Family Nurse Practitioner
- Hialeah, FL
- NPI 1669139176
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1134505787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397606400000",
"number": "1992892558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 SW 143RD AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331843223",
"telephone_number": "305-822-6885",
"fax_number": "305-825-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E 49TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330131855",
"telephone_number": "305-822-6885",
"fax_number": "305-825-9965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGUSTIN MARTINEZ M D P A",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2014-04-16",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "AGUSTIN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "305-822-6885",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME82266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261107400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.