MRS. JENNIFER A MARTINEZ (NPI# 1184814071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184814071 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER A MARTINEZ |
| Credential | PA |
| Practice Address |
7700 Sw 104 St Miami FL 33156 |
| Practice Telephone | 3052797546 |
| Practice Fax Number | 3052794180 |
| Mailing Telephone | 3052797546 |
| Mailing Fax Number | 3052794180 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2016-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
PA 9104126 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | PA 9104126 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497380703 | Jennifer Martinez | Licensed Vocational Nurse | 901 Wooded Acres Dr Apt 961c, Waco, TX 76710-4555 | 2020-03-06 |
| 1548751837 | Jennifer Marie Martinez | Behavior Technician | 1884 Enterprise Ave, Saint Augustine, FL 32092-2421 | 2018-05-23 |
| 1841707643 | Jennifer Martinez | Clinical Neuropsychologist | 1 3rd Ave, Mineola, NY 11501-4299 | 2018-01-03 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1740727957 | Jennifer Tien Martinez | Nurse Practitioner | 1160 E Perrin Ave, Fresno, CA 93720-4262 | 2017-01-25 |
| 1629526157 | Jennifer Martinez | Technician, Other | 2816 Blanford Ave Sw, Albuquerque, NM 87121-4303 | 2016-09-13 |
| 1679026371 | Jennifer Joan Martinez | Nurse Practitioner | Nm 571 Bldg 28, El Rito, NM 87530 | 2016-07-28 |
| 1851758221 | Jennifer Martinez | Massage Therapist | 6160 Tutt Blvd Ste 102, Colorado Springs, CO 80923-3503 | 2016-01-15 |
| 1497179998 | Jennifer Anne Martinez | Physician Assistant | 11212 State Highway 151 Ste 115, San Antonio, TX 78251-4498 | 2014-02-05 |
| 1356549059 | Jennifer L. Martinez | Marriage & Family Therapist | 1110 Civic Center Blvd Ste 202c, Yuba City, CA 95993-3016 | 2007-07-05 |
| Street Address |
7700 SW 104 ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930046 | Orlando Maiguel Garcia | Massage Therapist | 6500 Sw 111th St, Pinecrest, FL 33156 | 2020-10-22 |
| 1326514167 | James J Jennings Md LLC | Family Medicine | 11921 South Dixie Hwy, Ste. 201, Pinecrest, FL 33156 | 2018-10-19 |
| 1134615487 | Yanet Betancourt | Assistant Behavior Analyst | 7725 N Kendall Dr Apt 220, Miami, FL 33156 | 2018-07-10 |
| 1265922215 | Jenny C Devereaux | Social Worker | 9100 S Dadeland Blvd Suite 1500, Suite 1500, Miami, FL 33156 | 2018-05-15 |
| 1760989099 | Cyndia Talia Alfonso | Behavior Technician | 7290 Sw 90th St Apt 302, Miami, FL 33156 | 2018-04-12 |
| 1699277178 | John Addison, Dmd, Pa | Durable Medical Equipment & Medical Supplies | 9700 S. Dixie Highway Suite 910, Miami, FL 33156 | 2018-03-01 |
| 1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
| 1699297036 | Natasha Beene | Behavioral Analyst | 7572 Sw 102nd St, Miami, FL 33156 | 2017-07-07 |
| 1174055461 | Zoryana Dudaryk | Physician Assistant | 8200 Sw 134 St, Pinecrest, FL 33156 | 2017-03-28 |
| 1639618044 | Calm Care Dental Associates, Inc | Dentist | 12531 South Dixie Highway, Pinecrest, FL 33156 | 2017-02-17 |
| Find all providers in zip 33156 | ||||
| Taxonomy Code | 207NI0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Clinical & Laboratory Dermatological Immunology |
| A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801237599 | A and B Associates, Pa | Dermatology | 9526 Ne 2nd Ave Ste 103, Miami Shores, FL 33138-2750 | 2013-07-10 |
| 1992970784 | Mia Esthetics | Dermatology | 7660a Nw 186th St, Hialeah, FL 33015-2925 | 2008-04-23 |
| 1184758716 | Michael E Berman | Dermatology | 1411 White Street, Key West, FL 33040-4813 | 2007-03-15 |
| 1245257971 | Oscar E Saffold | Dermatology | 7652 Ashley Park Ct, Suite 305, Orlando, FL 32835 | 2006-07-17 |
| 1487042636 | Elias Dermatology LLC | Dermatology | 4610 N Federal Hwy, Fort Lauderdale, FL 33308-5206 | 2014-12-22 |
| 1487082079 | Derm Bar Md Holdings LLC | Dermatology | 318 Alhambra Cir, Coral Gables, FL 33134-5004 | 2013-10-17 |
| 1689867418 | Freepath Pl | Dermatology | 4412 W Osborne Ave, Tampa, FL 33614-6963 | 2007-08-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.