RAFAEL MARTINEZ APRN
NPI 1124855879
Nurse Practitioner - Family in Miami, FL
About Rafael Martinez Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAFAEL MARTINEZ APRN (NPI 1124855879) is an individual family provider in Miami, Florida, licensed in Florida (APRN11035365) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rafael Martinez Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Rafael Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami Beach, FL 33140
- Reassigned Medicare billing, Florida enrollment
- 4 clinicians in this Medicare group
Doral, FL 33122
- Reassigned Medicare billing, Florida enrollment
- 229 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rafael Martinez's NPI number?
The NPI number for Rafael Martinez is 1124855879. It was assigned to this individual provider in the NPPES registry on September 17, 2024.
Where is Rafael Martinez located?
Rafael Martinez practices at 1425 NW 10th Ave, Miami, FL 33136. The listed phone number is (305) 243-4000.
What is Rafael Martinez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rafael Martinez enrolled in Medicare?
Yes. Rafael Martinez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Rafael Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Martinez reassigns Medicare benefits to 2 organizations: Medrite 41 LLC (Miami Beach, FL) and Guidewell Sanitas I, LLC (Doral, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rafael Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rafael Martinez accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Rafael Martinez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Rafael Martinez was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rafael Martinez, APRN · NPI 1124855879
Family physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since September 17, 2024.
## Identity
- **NPI:** 1124855879 (Entity type: Individual)
- **Enumerated:** September 17, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11035365 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1425 NW 10TH AVE, Miami, FL 33136-1024
- **Phone:** (305) 243-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medrite 41 LLC (NPI 1134629389, Miami Beach, FL); Guidewell Sanitas I, LLC (NPI 1154809028, Doral, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124855879) · Data from the CMS NPPES public registry.