JUAN CARLOS MARTINEZ NPI 1215598081

NPI Information

NPI: 1215598081
Provider Name: JUAN CARLOS MARTINEZ
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6112 NW 7TH AVE
MIAMI, FL
ZIP 33127
Phone: (305) 758-9621
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Juan Carlos Martinez is a family nurse practitioner in Miami, FL. Juan Carlos Martinez NPI is 1215598081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6112 NW 7TH AVE
MIAMI, FL
ZIP 33127-112
Phone: (305) 758-9621

The NPI 1215598081 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2019 and was last updated on 11/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		9402062	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	APRN9402062	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	APRN	OTHER	FLORIDA	FAMILY NURSE PRACTITIONER.
2	APRN	OTHER	FLORIDA	FNP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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